Provider Demographics
NPI:1770933459
Name:FRASER, HANNAH ROSE (PA)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:ROSE
Last Name:FRASER
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:ELM AND CARLTON ST
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14263-0001
Mailing Address - Country:US
Mailing Address - Phone:716-845-2300
Mailing Address - Fax:716-845-8646
Practice Address - Street 1:ELM AND CARLTON STREETS
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14263-0001
Practice Address - Country:US
Practice Address - Phone:716-845-2300
Practice Address - Fax:716-845-8646
Is Sole Proprietor?:No
Enumeration Date:2016-06-14
Last Update Date:2019-07-15
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant