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NPI Code Detail

MEDICARE: TONJA LEE FRANK RN

MEDICARE: TONJA LEE FRANK RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WS0200XSchool Registered Nurse43921NE

General Provider Information

NPI Number : 1538642699
Entity Type Code : Individual
Provider Name (Legal Business Name) : TONJA LEE FRANK RN
Provider Business Mailing Address
First Line : 4606 TERRACE DR
Second Line :
City : OMAHA
State : NE
Zip : 68134-3062
Country : US
Telephone Number : 402-557-4715
Fax Number : 402-557-4709
Provider Business Practice Location Address
First Line : 4606 TERRACE DR
Second Line :
City : OMAHA
State : NE
Zip : 68134-3062
Country : US
Telephone Number : 402-557-4715
Fax Number : 402-557-4709
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2018
Last Update Date : 09/13/2018

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