Individual provider · Type 1 NPI

Kimberly Fraze, PharmD, PMHNP

Psychiatric/Mental Health Nurse Practitioner · Fort Wayne, IN

NPI number 1336500768 Active

Practice location

2622 Lake Ave Ste 1
Fort Wayne, IN 46805-5410

Mailing address

240 N Tillotson Ave
Muncie, IN 47304-3988

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808X223324 (AK)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X71015408A (IN)

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

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About NPI 1336500768

Kimberly Fraze, PharmD, PMHNP's National Provider Identifier is 1336500768, issued on Mar 12, 2016. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fort Wayne, IN. The record was last updated on Jul 11, 2024.