Fraser, Ida Lee
Fraser, Ida Lee is an individual health care provider with primary practice located at 2402 W Pierce St Suite 4A, Carlsbad NM 88220-3537. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fraser, Ida Lee can be contacted via phone (575) 234-9964.Contact Information
Primary practice address
2402 W Pierce St Suite 4A
Carlsbad NM 88220-3537
Phone: (575) 234-9964
Fax: (575) 234-3438
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | CNP 01698 | New Mexico |
Profile Details
| NPI number | 1982905683 |
|---|---|
| LBN Legal business name | Fraser, Ida Lee |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 11th, 2010 |
| Last updated | Jan 3rd, 2014 - about 10 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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