Individual provider · Type 1 NPI
Desianne Natanya Fraser, REGISTERED NURSE
General Practice Registered Nurse · Bronx, NY
NPI number
1174940662
Active
Practice location
1822 Stillwell Ave, Front Desk
Bronx, NY 10469-1233
Mailing address
745 E 242nd St Apt 2C
Bronx, NY 10470-1233
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 666082-1 (NY) |
General Practice Registered Nurse: Definition to come...
Another provider at this address
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About NPI 1174940662
Desianne Natanya Fraser, REGISTERED NURSE's National Provider Identifier is 1174940662, issued on Mar 24, 2014. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Bronx, NY. The record was last updated on Mar 24, 2014.