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NPI Code Detail

MEDICARE: ALICIA MARCELLA FRAZIER RN

MEDICARE: ALICIA MARCELLA FRAZIER RN
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
1207QA0401XAddiction Medicine (Family Medicine) Physician500688OH
2163W00000XRegistered NurseRN.500688OH

General Provider Information

NPI Number : 1770369621
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALICIA MARCELLA FRAZIER RN
Provider Business Mailing Address
First Line : 4600 MONTGOMERY RD STE 400
Second Line :
City : CINCINNATI
State : OH
Zip : 45212-2600
Country : US
Telephone Number : 513-873-1269
Fax Number :
Provider Business Practice Location Address
First Line : 5815 WESTBOURNE AVE # 43213
Second Line :
City : COLUMBUS
State : OH
Zip : 43213-1459
Country : US
Telephone Number : 888-502-4571
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2023
Last Update Date : 09/06/2023

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