IndividualActive
Mary Frazier, NREMT
NPI 1184450439 · Basic Emergency Medical Technician · Wagoner, OK
Provider details
- NPI number
- 1184450439
- Entity type
- Individual
- Primary specialty
- Basic Emergency Medical TechnicianEmergency Medical Service Providers
- Credential
- NREMT
- Sex
- Female
- Sole proprietor
- No
- License
- 58341 (OK)
Specialties & taxonomies
Emergency Medical Service Providers
Practice location
33038 Long Bay Rd
Wagoner, OK 74467-3682
Phone: (918) 485-9500
Approximate (ZIP-level) locationGet directions
Mailing address
504 Judy Ln # a
Tahlequah, OK 74464-4214
Registry dates
- Enumerated
- 2024-09-12
- Last updated
- 2024-09-12
- Certified
- 2024-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.