Provider Demographics
NPI:1528524204
Name:FRENZEL-LEE, SARAH ROXANNE (PA-C)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:ROXANNE
Last Name:FRENZEL-LEE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MRS
Other - First Name:SARAH
Other - Middle Name:ROXANNE
Other - Last Name:FRENZEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:16427 ONDOLA CIR
Mailing Address - Street 2:
Mailing Address - City:EAGLE RIVER
Mailing Address - State:AK
Mailing Address - Zip Code:99577-6707
Mailing Address - Country:US
Mailing Address - Phone:843-408-2567
Mailing Address - Fax:
Practice Address - Street 1:3831 PIPER ST STE S450
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-4635
Practice Address - Country:US
Practice Address - Phone:907-258-6999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-18
Last Update Date:2019-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK140217363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant