Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kimberly Fraze, PHARMD, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1336500768

Kimberly Fraze, PHARMD, PMHNP is a Psychiatric/Mental Health Nurse Practitioner in Fort Wayne, Indiana. Licensed in Alaska and Indiana. Registered with an NPI since 2016.

Licensed in
AK, IN
In the registry since
2016
Specialties on file
2
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

See every abbreviation used in this directory →

Practice location Address checks out

2622 Lake Ave Ste 1
Fort Wayne, IN 46805-5410
Phone: (260) 436-0932
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 71015408A (IN)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 223324 (AK)

Record details

NPI number1336500768
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHARMD , PMHNP
Sole proprietorNo
NPI enumeratedMarch 12, 2016
Last updated in NPPESJuly 11, 2024
Certification dateJuly 11, 2024

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