Provider Demographics
NPI:1487059820
Name:FRAZIER, ELAINE MARIE (RN)
Entity type:Individual
Prefix:MS
First Name:ELAINE
Middle Name:MARIE
Last Name:FRAZIER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:ELAINE
Other - Middle Name:MARIE
Other - Last Name:PORPIGLIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:141 S OHIOVILLE RD
Mailing Address - Street 2:
Mailing Address - City:NEW PALTZ
Mailing Address - State:NY
Mailing Address - Zip Code:12561-4013
Mailing Address - Country:US
Mailing Address - Phone:845-883-5699
Mailing Address - Fax:
Practice Address - Street 1:141 S OHIOVILLE RD
Practice Address - Street 2:
Practice Address - City:NEW PALTZ
Practice Address - State:NY
Practice Address - Zip Code:12561-4013
Practice Address - Country:US
Practice Address - Phone:845-883-5699
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-28
Last Update Date:2014-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYRN321337-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse