Individual provider · Type 1 NPI
Maryanne Fraser
Family Nurse Practitioner · New York, NY
NPI number
1891151536
Active
Practice location
301 E 17th St
New York, NY 10003-3804
Mailing address
2554 123rd St
Flushing, NY 11354-1039
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 339029 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1891151536
Maryanne Fraser's National Provider Identifier is 1891151536, issued on Jan 11, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in New York, NY. The record was last updated on Jan 11, 2016.