MEDICARE: MS. SARAH HUNTER FRAZER FNP-NC

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	363LF0000X	Family Nurse Practitioner	F1016658	AL

General Provider Information

NPI Number	:	1902349129
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SARAH HUNTER FRAZER FNP-NC

Provider Business Mailing Address
First Line	:	601 E FAIRVIEW AVE
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36106-1813
Country	:	US
Telephone Number	:	334-233-5571
Fax Number	:

Provider Business Practice Location Address
First Line	:	601 E FAIRVIEW AVE
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36106-1813
Country	:	US
Telephone Number	:	334-233-5571
Fax Number	:

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

Provider Enumeration Date	:	11/19/2016
Last Update Date	:	11/19/2016

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