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

Mr. William Larry Fraser Jr., RN

Individual provider Addiction (Substance Use Disorder) Registered Nurse · NPI 1093578767

Mr. William Larry Fraser Jr., RN is an Addiction (Substance Use Disorder) Registered Nurse in Greenville, South Carolina. Licensed in South Carolina. Registered with an NPI since 2024.

Licensed in
SC
In the registry since
2024
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

47 Fisherman Ln
Greenville, SC 29615-5013
Phone: (864) 477-5679
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Registered Nurse (primary) Taxonomy 163WA0400X · Licence 258383 (SC)

Record details

NPI number1093578767
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorNo
NPI enumeratedFebruary 5, 2024
Last updated in NPPESFebruary 5, 2024
Certification dateFebruary 5, 2024

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