Provider Demographics
NPI:1982111068
Name:FRAZIER, ANALISE NOEL (DNP, CRNA)
Entity Type:Individual
Prefix:DR
First Name:ANALISE
Middle Name:NOEL
Last Name:FRAZIER
Suffix:
Gender:F
Credentials:DNP, CRNA
Other - Prefix:
Other - First Name:ANALISE
Other - Middle Name:NOEL
Other - Last Name:MURPHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5791 UNIVERSITY CLUB BLVD N UNIT 1501
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32277-1497
Mailing Address - Country:US
Mailing Address - Phone:573-356-1542
Mailing Address - Fax:
Practice Address - Street 1:655 W 8TH ST
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32209
Practice Address - Country:US
Practice Address - Phone:904-244-3199
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-10
Last Update Date:2018-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9375340367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered