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NPI Code Detail

MEDICARE: CELESTE V FRAZIER CNM

MEDICARE: CELESTE V FRAZIER CNM
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
1367A00000XAdvanced Practice MidwifeARNP1972552FL

General Provider Information

NPI Number : 1780667949
Entity Type Code : Individual
Provider Name (Legal Business Name) : CELESTE V FRAZIER CNM
Provider Business Mailing Address
First Line : PO BOX 1357
Second Line :
City : FORT MYERS
State : FL
Zip : 33902-1357
Country : US
Telephone Number : 239-278-3600
Fax Number : 239-278-3203
Provider Business Practice Location Address
First Line : 2232 GRAND AVE
Second Line :
City : FORT MYERS
State : FL
Zip : 33901-3717
Country : US
Telephone Number : 239-332-0417
Fax Number : 239-479-5194
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2005
Last Update Date : 07/08/2007

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Directions to “ CELESTE V FRAZIER CNM” Practice Location

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