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1811468432 NPI number — STEPHEN RAYMOND FRATES FNP

NPI Number: 1811468432
Health Care Provider/Practitioner: STEPHEN RAYMOND FRATES FNP

Information about “1811468432” NPI (STEPHEN RAYMOND FRATES FNP) exists in 1811468432 in HTML format HTML  |  1811468432 in plain Text format TXT  |  1811468432 in PDF (Portable Document Format) PDF  |  1811468432 in an XML format XML  formats.

NPI Number : 1811468432 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1811468432",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FRATES",
    "FirstName": "STEPHEN",
    "MiddleName": "RAYMOND",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "FNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "261 N ROOSEVELT AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHANDLER",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85226-2617",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "480-677-8282",
    "MailingAddressFaxNumber": "888-316-1686",
    "FirstLinePracticeLocationAddress": "9484 E 22ND ST STE B-1",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TUCSON",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85710-7312",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "480-677-8282",
    "PracticeLocationAddressFaxNumber": "888-316-1686",
    "EnumerationDate": "12/07/2018",
    "LastUpdateDate": "10/07/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "163WG0000X",
          "TaxonomyName": "General Practice Registered Nurse",
          "LicenseNumber": "AP11731",
          "LicenseNumberStateCode": "AZ",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LX0106X",
          "TaxonomyName": "Occupational Health Nurse Practitioner",
          "LicenseNumber": "AP11731",
          "LicenseNumberStateCode": "AZ",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "AP11731",
          "LicenseNumberStateCode": "AZ",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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