Provider Demographics
NPI:1366034472
Name:APRN RESOURCES, LLC
Entity Type:Organization
Organization Name:APRN RESOURCES, LLC
Other - Org Name:EVOLUTION MENTAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BETHANN
Authorized Official - Middle Name:M
Authorized Official - Last Name:FRAZIER
Authorized Official - Suffix:
Authorized Official - Credentials:DNP APRN FNP-C PMHNP
Authorized Official - Phone:651-233-6541
Mailing Address - Street 1:1915 HIGHWAY 36 W # 75
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55113-2709
Mailing Address - Country:US
Mailing Address - Phone:651-233-6541
Mailing Address - Fax:320-223-6224
Practice Address - Street 1:1915 HIGHWAY 36 W # 75
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55113-2709
Practice Address - Country:US
Practice Address - Phone:651-233-6541
Practice Address - Fax:320-223-6224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-09
Last Update Date:2021-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty