Provider Demographics
NPI:1740969419
Name:FRAZIER, ERICA AMORE (BS)
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:AMORE
Last Name:FRAZIER
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 CALZA ST
Mailing Address - Street 2:
Mailing Address - City:LEOMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01453-4808
Mailing Address - Country:US
Mailing Address - Phone:603-731-7619
Mailing Address - Fax:
Practice Address - Street 1:12 CALZA ST
Practice Address - Street 2:
Practice Address - City:LEOMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01453-4808
Practice Address - Country:US
Practice Address - Phone:603-731-7619
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-11
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program