Individual provider · Type 1 NPI

Vickie Bradley Fraser, APRN, PMHNP-BC, LPC

Psychiatric/Mental Health Nurse Practitioner · Montgomery, OH

NPI number 1104165893 Active

Practice location

6200 Pfeiffer Rd
Montgomery, OH 45242-5862

Other practice locations

  • 710 Lakewood Dr, Taylor Mill, KY 41015-4408 · (865) 806-0943

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Registered Nurse 163WC0200XRN.427558 (OH)
Critical Care Medicine Registered Nurse 163WC0200X1150760 (KY)
Psychiatry Physician 2084P0800X3017561 (KY)
Psychiatry Physician 2084P0800XAPRN.CNP.0031019 (OH)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XAPRN.CNP.0031019 (OH)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1104165893

Vickie Bradley Fraser, APRN, PMHNP-BC, LPC's National Provider Identifier is 1104165893, issued on Jan 31, 2013. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Montgomery, OH. The record was last updated on Oct 31, 2022.