Provider Demographics
NPI:1942686969
Name:FRAZIER, SHEREE DOMINIQUE EWAR (ARNP)
Entity type:Individual
Prefix:
First Name:SHEREE
Middle Name:DOMINIQUE EWAR
Last Name:FRAZIER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1746 23RD ST SW
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32962-7982
Mailing Address - Country:US
Mailing Address - Phone:772-633-7349
Mailing Address - Fax:772-213-9812
Practice Address - Street 1:1355 37TH ST STE 300
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-7321
Practice Address - Country:US
Practice Address - Phone:772-213-9809
Practice Address - Fax:772-213-9812
Is Sole Proprietor?:No
Enumeration Date:2015-07-31
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAPRN1190037363L00000X
FLAPRN9305391363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLIG261ZMedicare UPIN