Frazier, Tara Denise

Frazier, Tara Denise is an individual health care provider with primary practice located at 222 N Pacific Coast Hwy Ste 2175 , El Segundo CA 90245-5639. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Frazier, Tara Denise can be contacted via phone (877) 878-3289.

Contact Information

Primary practice address
222 N Pacific Coast Hwy Ste 2175 El Segundo CA 90245-5639
Fax: (424) 217-1826
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 95012377 California

Profile Details

NPI number 1659926384
LBN Legal business name Frazier, Tara Denise
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2019
Last updated Aug 8th, 2019 - about 6 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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