Healthcare Provider Details

I. General information

NPI: 1043301542
Provider Name (Legal Business Name): GLORIA LYNN FRANKLIN NP MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2006
Last Update Date: 10/22/2021
Certification Date: 10/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 E VALENCIA MESA DR
FULLERTON CA
92835-3809
US

IV. Provider business mailing address

100 E VALENCIA MESA DR STE 311
FULLERTON CA
92835-3800
US

V. Phone/Fax

Practice location:
  • Phone: 909-717-9589
  • Fax:
Mailing address:
  • Phone: 714-446-5590
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number16124
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: