MEDICARE: SHIRLEY FRAZIER

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
1	172V00000X	Community Health Worker

General Provider Information

NPI Number	:	1316522063
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHIRLEY FRAZIER

Provider Business Mailing Address
First Line	:	3355 CHESTNUT RIDGE RD
Second Line	:
City	:	MOUNT ALTO
State	:	WV
Zip	:	25264-9504
Country	:	US
Telephone Number	:	304-786-4842
Fax Number	:

Provider Business Practice Location Address
First Line	:	3355 CHESTNUT RIDGE RD
Second Line	:
City	:	MOUNT ALTO
State	:	WV
Zip	:	25264-9504
Country	:	US
Telephone Number	:	304-786-4842
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/15/2021
Last Update Date	:	03/15/2021

Similar Medicare Providers

1730776915 — ELAINE DIANE HUSSELL
Practice Location Address:

114 NEW HAVEN RD
MOUNT ALTO, WV
25264-8522

Practice Phone: 304-532-3827
Practice Fax:

1932917663 — JESSICA M BATTEN
Practice Location Address:

72 NEW HAVEN RD
MOUNT ALTO, WV
25264-9524

Practice Phone: 304-531-7139
Practice Fax:

1558165928 — CHELSEA FETTY
Practice Location Address:

1327 CHESTNUT RIDGE RD
MOUNT ALTO, WV
25264-9684

Practice Phone: 304-674-9467
Practice Fax:

1205722642 — SANDRA MARIE HOPKINS
Practice Location Address:

13249 POINT PLEASANT RD
MOUNT ALTO, WV
25264-8542

Practice Phone: 304-786-8300
Practice Fax:

1861370579 — RENEE ENGLAND
Practice Location Address:

12880 POINT PLEASANT RD
MOUNT ALTO, WV
25264-8549

Practice Phone: 304-410-6352
Practice Fax:

1285562405 — RACHEAL KILLINGSWORTH
Practice Location Address:

21297 GRAHAM STATION RD
MOUNT ALTO, WV
25264-9754

Practice Phone: 304-593-1092
Practice Fax:

Directions to “ SHIRLEY FRAZIER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.