Grant, Debra Frazier

Grant, Debra Frazier is an sole proprietor health care provider with primary practice located at 207 Center St E , Eatonville WA 98328. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Grant, Debra Frazier can be contacted via phone (360) 832-2167.

Contact Information

Primary practice address
207 Center St E Eatonville WA 98328
Phone: (360) 832-2167
Fax: (360) 832-3661
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X AP30001917 Washington

Profile Details

NPI number 1396860375
LBN Legal business name Grant, Debra Frazier
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 20th, 2007
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396860375 NPPES
Washington MEDICAID 9604174
Washington MEDICAID 7900616

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