Doctor Name: | SALLY GEAN FRANK |
NPI Number: | 1215248547 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C |
License Number: | R31102 |
Business Practice Address: | 2008 Twin City Dr Mandan, ND - 585543820 |
Business Phone Number: | 7016671000 |
Business Fax Number: | 7016670707 |
Mailing Address: | 2008 Twin City Dr, MANDAN |
State: | ND |
Postal Code: | 585543820 |
Phone Number: | 7016671000 |
Fax Number: | 7016670707 |
NPI Enumeration Date: | 07/01/2010 |
NPI Last Update Date: | 07/01/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R31102 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ND |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |