Individual provider · Type 1 NPI

Octavia Shatise Frazier-Porter

Student in an Organized Health Care Education/Training Program · Rochester, NY

NPI number 1750170064 Active

Practice location

300 Crittenden Blvd
Rochester, NY 14642-0001

Call (585) 275-3563 Map

Mailing address

16 Marshall St Apt 1F
Irvington, NJ 07111-3627

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1750170064

Octavia Shatise Frazier-Porter's National Provider Identifier is 1750170064, issued on May 2, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Rochester, NY. The record was last updated on May 2, 2025.