Amanda Jean Fraser in Pinehurst - Physician Assistant
Amanda Jean Fraser - NPI 1518135748
Amanda Jean Fraser is a Physician Assistant in Pinehurst, North Carolina. Amanda Jean Fraser practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Amanda Jean Fraser is 1518135748. The last update date is 2023-10-30.
Amanda Jean Fraser's current location address is 14 Regional Dr, Pinehurst, North Carolina. You can contact this provider via phone number 9102956661 and fax number 9102956524. The mailing address for Amanda Jean Fraser is 14 Regional Dr, Pinehurst, North Carolina. To know further, please read the information below!
Provider Profile Detail
Provider Name | Amanda Jean Fraser |
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Address | 14 Regional Dr, Pinehurst, North Carolina |
Phone Number | 9102956661 |
Fax Number | 9102956524 |
Sole Proprietor | N |
Credentials | PA |
NPI Number Detail
NPI Number | 1518135748 |
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Provider Enumeration Date | 2008-02-11 |
Last Updated Date | 2023-10-30 |
Provider Mailing Address Detail
Address | 14 Regional Dr |
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City | Pinehurst |
State | North Carolina (NC) |
Post Code | 283748850 |
Phone Number | 9102956661 |
Fax Number | 9102956524 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | 0010-02636 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
NCU839A | NC | MEDICARE PTAN | |
1518135748 | NC | -- | |
NCU839B | NC | MEDICARE PTAN |
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What is the unique 10-digit identifier code issued to Amanda Jean Fraser by the Centers for Medicare & Medicaid Services?
The Amanda Jean Fraser has been assigned the NPI (National Provider Identifier) 1518135748 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Amanda Jean Fraser?
The Amanda Jean Fraser is physically situated at 14 Regional Dr, in the city of Pinehurst, state of NC, with the postal code 283748850.
What is Amanda Jean Fraser's specialized field of practice, and what is the corresponding taxonomy classification code?
The Amanda Jean Fraser's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date did the Amanda Jean Fraser receive its 1518135748 assignment from the Centers for Medicare & Medicaid Services?
The Amanda Jean Fraser was assigned its 1518135748 by the Centers for Medicare & Medicaid Services on 2008-02-11.
When was the information regarding Amanda Jean Fraser most recently updated?
The details pertaining to the Amanda Jean Fraser, including its address, specialty, and other relevant information, were last refreshed on 2023-10-30.
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