Healthcare Provider Details

I. General information

NPI: 1275770299
Provider Name (Legal Business Name): CARRIE MARIE FRANK CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. CARRIE M SCHUMANN

II. Dates (important events)

Enumeration Date: 01/13/2009
Last Update Date: 04/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24270 E WYOMING PL
AURORA CO
80018-6140
US

IV. Provider business mailing address

24270 E WYOMING PL
AURORA CO
80018-6140
US

V. Phone/Fax

Practice location:
  • Phone: 616-706-5434
  • Fax: 616-364-7347
Mailing address:
  • Phone: 616-706-5434
  • Fax: 616-364-7347

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number4704235760
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: