Provider Demographics
NPI:1700937943
Name:FRASER, LEIGH ANNE (RN)
Entity Type:Individual
Prefix:MS
First Name:LEIGH
Middle Name:ANNE
Last Name:FRASER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:LEIGH
Other - Middle Name:ANNE
Other - Last Name:SPOFFORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2317 CATALINA CIR APT 280
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92056-5329
Mailing Address - Country:US
Mailing Address - Phone:760-672-0264
Mailing Address - Fax:
Practice Address - Street 1:2317 CATALINA CIR APT 280
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92056-5329
Practice Address - Country:US
Practice Address - Phone:760-672-0264
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA639839163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency