1174940662 NPI number — DESIANNE NATANYA FRASER REGISTERED NURSE

Table of content: DESIANNE NATANYA FRASER REGISTERED NURSE (NPI 1174940662)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1174940662 NPI number — DESIANNE NATANYA FRASER REGISTERED NURSE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FRASER
Provider First Name:
DESIANNE
Provider Middle Name:
NATANYA
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
REGISTERED NURSE
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1174940662
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/24/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
745 E 242ND ST APT 2C
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BRONX
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10470-1233
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-406-2817
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1822 STILLWELL AVE
Provider Second Line Business Practice Location Address:
FRONT DESK
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10469-1233
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-652-7939
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/24/2014

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163WG0000X , with the licence number:  666082-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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