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NPI Code Detail

MEDICARE: DEIDRE DANIELLE FRAZIER

MEDICARE: DEIDRE DANIELLE 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
1163W00000XRegistered Nurse914668TX

General Provider Information

NPI Number : 1396692737
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEIDRE DANIELLE FRAZIER
Provider Business Mailing Address
First Line : 1005 VENUS DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80905-7751
Country : US
Telephone Number : 580-284-2113
Fax Number :
Provider Business Practice Location Address
First Line : 1650 COCHRANE CIR UNIT MEDDAC
Second Line :
City : FORT CARSON
State : CO
Zip : 80913-4604
Country : US
Telephone Number : 719-526-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2026
Last Update Date : 03/13/2026

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Directions to “ DEIDRE DANIELLE FRAZIER ” Practice Location

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