Provider Demographics
NPI:1659092740
Name:MCCUIEN-FRAZIER, ROCHELLE (APRN)
Entity Type:Individual
Prefix:
First Name:ROCHELLE
Middle Name:
Last Name:MCCUIEN-FRAZIER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3350 NICKLAUS DRIVE
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72034
Mailing Address - Country:US
Mailing Address - Phone:501-733-6499
Mailing Address - Fax:501-224-1358
Practice Address - Street 1:BAPTIST HEALTH CENTER FOR CLINICAL RESEARCH
Practice Address - Street 2:9601 BAPTIST HEALTH DRIVE MED TOWER 1 SUITE 310
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72205
Practice Address - Country:US
Practice Address - Phone:501-224-1348
Practice Address - Fax:501-224-1358
Is Sole Proprietor?:No
Enumeration Date:2022-09-07
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR219353363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily