Healthcare Provider Details

I. General information

NPI: 1073476123
Provider Name (Legal Business Name): ERICA FRAZIER MSN, APRN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/05/2025
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 N GOULD ST STE 12377
SHERIDAN WY
82801-6317
US

IV. Provider business mailing address

30 N GOULD ST STE 12377
SHERIDAN WY
82801-6317
US

V. Phone/Fax

Practice location:
  • Phone: 307-289-8408
  • Fax: 888-798-1016
Mailing address:
  • Phone: 307-289-8408
  • Fax: 888-798-1016

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberNUR-APRN-LIC-278685
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: