Provider Demographics
NPI:1578643516
Name:FRAZIER, LINDA MCNEIL (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:MCNEIL
Last Name:FRAZIER
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4815 PYBURN CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31907-5098
Mailing Address - Country:US
Mailing Address - Phone:706-687-1998
Mailing Address - Fax:706-682-4400
Practice Address - Street 1:4815 PYBURN CT
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31907-5098
Practice Address - Country:US
Practice Address - Phone:706-687-1998
Practice Address - Fax:706-682-4400
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN070540 NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily