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NPI Code Detail

MEDICARE: RACHEL M FRAZIN CNP

MEDICARE: RACHEL M FRAZIN CNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerR088249-3MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306984133
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL M FRAZIN CNP
Provider Business Mailing Address
First Line : 1841 DAYTON AVE
Second Line :
City : SAINT PAUL
State : MN
Zip : 55104-6013
Country : US
Telephone Number : 651-644-4540
Fax Number :
Provider Business Practice Location Address
First Line : 1841 DAYTON AVE
Second Line :
City : SAINT PAUL
State : MN
Zip : 55104-6013
Country : US
Telephone Number : 651-644-4540
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2007
Last Update Date : 08/07/2024

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Directions to “ RACHEL M FRAZIN CNP” Practice Location

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