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Kimberly Fraze, PHARMD,PMHNP
Psychiatric/Mental Health Nurse Practitioner in Fort Wayne, Indiana
NPI 1336500768

Kimberly Fraze is a Psychiatric/Mental Health Nurse Practitioner based in Muncie, IN and is specialized in Psychiatric/Mental Health. Kimberly Fraze practices in Fort Wayne, IN and has the professional credentials of PHARMD,PMHNP. The NPI Number for Kimberly Fraze is 1336500768 and holds a License No. 223324 (Indiana).

The current practice location address for Kimberly Fraze is 2622 Lake Ave Ste 1, Fort Wayne, IN and can be reached out via phone at 260-436-0932.

Location: 2622 Lake Ave Ste 1, Fort Wayne, IN, 47304-3988
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336500768
Provider Name
Kimberly Fraze
Credential
PHARMD,PMHNP
Provider Entity Type
Individual
Gender
Female
Address
2622 Lake Ave Ste 1, Fort Wayne, IN, 47304-3988
Phone Number
260-436-0932
Fax Number
Provider Enumeration Date
03/12/2016
Last Update Date
08/17/2024
institution
Provider Business Practice Location Address Details
Address
2622 Lake Ave Ste 1
City
Fort Wayne
State
Indiana
Zip
46805-5410
Phone Number
260-436-0932
Fax Number
person
Provider Business Mailing Address Details
Address
2622 Lake Ave Ste 1
City
Fort Wayne
State
Indiana
Zip
46805-5410
Phone Number
260-436-0932
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
223324 (Alaska)
Definition
Definition to come...
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