Provider Demographics
NPI:1407827892
Name:FRASHER, DEBORAH LEE (ANP-C, PMHNP-C)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:LEE
Last Name:FRASHER
Suffix:
Gender:F
Credentials:ANP-C, PMHNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13602 12TH ST
Mailing Address - Street 2:
Mailing Address - City:GRANDVIEW
Mailing Address - State:MO
Mailing Address - Zip Code:64030-3627
Mailing Address - Country:US
Mailing Address - Phone:816-946-1180
Mailing Address - Fax:816-291-4600
Practice Address - Street 1:1601 STATE ST
Practice Address - Street 2:
Practice Address - City:EMPORIA
Practice Address - State:KS
Practice Address - Zip Code:66801-5327
Practice Address - Country:US
Practice Address - Phone:620-208-3070
Practice Address - Fax:620-343-7910
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-01
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MONP2019017997363LA2200X
KS53-81747-021363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
15823782OtherCAQH