Provider Demographics
NPI:1861214892
Name:FRAZIER, FAITH (PA-S)
Entity type:Individual
Prefix:
First Name:FAITH
Middle Name:
Last Name:FRAZIER
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Gender:F
Credentials:PA-S
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Mailing Address - Street 1:304 N BEHREND AVE
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:NM
Mailing Address - Zip Code:87401-5843
Mailing Address - Country:US
Mailing Address - Phone:505-325-1572
Mailing Address - Fax:505-327-4887
Practice Address - Street 1:801 W MAPLE ST
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:NM
Practice Address - Zip Code:87401-5630
Practice Address - Country:US
Practice Address - Phone:505-609-6228
Practice Address - Fax:505-327-4887
Is Sole Proprietor?:No
Enumeration Date:2024-10-30
Last Update Date:2024-10-30
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical