Provider Demographics
NPI:1710538558
Name:FRAZER, CAREY LEANN (FNP-C)
Entity Type:Individual
Prefix:
First Name:CAREY
Middle Name:LEANN
Last Name:FRAZER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:CAREY
Other - Middle Name:LEANN
Other - Last Name:PLACKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8501 FM 407
Mailing Address - Street 2:
Mailing Address - City:DOUBLE OAK
Mailing Address - State:TX
Mailing Address - Zip Code:75077-3031
Mailing Address - Country:US
Mailing Address - Phone:972-966-1980
Mailing Address - Fax:
Practice Address - Street 1:8501 FM 407
Practice Address - Street 2:
Practice Address - City:DOUBLE OAK
Practice Address - State:TX
Practice Address - Zip Code:75077-3031
Practice Address - Country:US
Practice Address - Phone:972-966-1980
Practice Address - Fax:972-691-4937
Is Sole Proprietor?:No
Enumeration Date:2019-09-24
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP143156363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily