Individual provider · Type 1 NPI

Ida Lee Fraser, CNP

Family Nurse Practitioner · Carlsbad, NM

NPI number 1982905683 Active

Practice location

2402 W Pierce St, Suite 4A
Carlsbad, NM 88220-3537

Fax (575) 234-3438

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XCNP 01698 (NM)

Family Nurse Practitioner: Definition to come...

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About NPI 1982905683

Ida Lee Fraser, CNP's National Provider Identifier is 1982905683, issued on Nov 11, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Carlsbad, NM. The record was last updated on Jan 3, 2014.