Andres Marco Fraga, MSN, PMHNP
Nurse Practitioner, Psych/Mental Health in Chattanooga, TN. Individual provider (NPI-1).
NPI number1508330150
StatusActive
Last updated in NPPESJan 16, 2019
Details
- NPI
- 1508330150
- Entity type
- Individual (NPI-1)
- Name
- Andres Marco Fraga
- Credential
- MSN, PMHNP
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 16, 2019
- Last updated
- Jan 16, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | APN0000025231 | TN | Yes |
Practice location
7345 Courage WayChattanooga, TN 37421-1555
Phone 423-602-9797
Mailing address
166 Timberland TrlRinggold, GA 30736-4554
Phone 954-909-3932
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All 99 Psychiatric/Mental Health Nurse Practitioner providers in Chattanooga · All 9,197 providers in Chattanooga
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