Frazier, Deshala

Frazier, Deshala is an sole proprietor health care provider with primary practice located at 235 Sw Dade St Ste A , Madison FL 32340-2363. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Home Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Frazier, Deshala can be contacted via phone (850) 973-1402.

Contact Information

Primary practice address
235 Sw Dade St Ste A Madison FL 32340-2363
Phone: (850) 973-1402
Fax: (850) 973-1450
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Home Health 163WH0200X RN9303538 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN11028468 Florida

Profile Details

NPI number 1356886196
LBN Legal business name Frazier, Deshala
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2017
Last updated Jul 15th, 2024 - about 5 months 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 1356886196 NPPES
Florida MEDICAID 120987400

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