Healthcare Provider Details

I. General information

NPI: 1104839794
Provider Name (Legal Business Name): DANIEL A. FRANTZ PMHCNS-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 08/08/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 N 17TH AVE
GREELEY CO
80631-9584
US

IV. Provider business mailing address

1300 N 17TH AVE
GREELEY CO
80631-9584
US

V. Phone/Fax

Practice location:
  • Phone: 970-347-2120
  • Fax: 970-346-9800
Mailing address:
  • Phone: 970-347-2120
  • Fax: 970-346-9800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License NumberAPN.0000150-CNS
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: