Provider Demographics
NPI:1457351751
Name:FRAZEE, JANIS LYN (RNC MSN)
Entity Type:Individual
Prefix:MS
First Name:JANIS
Middle Name:LYN
Last Name:FRAZEE
Suffix:
Gender:F
Credentials:RNC MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7426 S ROSINSKI RD
Mailing Address - Street 2:
Mailing Address - City:CEDAR
Mailing Address - State:MI
Mailing Address - Zip Code:49621-9605
Mailing Address - Country:US
Mailing Address - Phone:231-228-7173
Mailing Address - Fax:
Practice Address - Street 1:6051 FRANKFORT HWY
Practice Address - Street 2:SUITE 100
Practice Address - City:BENZONIA
Practice Address - State:MI
Practice Address - Zip Code:49616-9558
Practice Address - Country:US
Practice Address - Phone:231-882-2230
Practice Address - Fax:231-882-2204
Is Sole Proprietor?:No
Enumeration Date:2005-07-28
Last Update Date:2012-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704124608363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health