Basic Information
Provider Information
NPI: 1073065629
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FRAZIER
FirstName: MARGARET
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: RN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 10921 GUILDFORD RD
Address2:  
City: NEW ORLEANS
State: LA
PostalCode: 701272334
CountryCode: US
TelephoneNumber: 5043099864
FaxNumber: 5043244573
Practice Location
Address1: 10921 GUILDFORD RD
Address2:  
City: NEW ORLEANS
State: LA
PostalCode: 701272334
CountryCode: US
TelephoneNumber: 5043099864
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/31/2016
LastUpdateDate: 09/25/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163WP0808XRN068445LAN Nursing Service ProvidersRegistered NursePsych/Mental Health
163W00000X068445LAY Nursing Service ProvidersRegistered Nurse 

No ID Information.


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