Healthcare Provider Details

I. General information

NPI: 1861355059
Provider Name (Legal Business Name): KRISTINA ELAINA FRANTZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/04/2025
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1263 GOLDEN LAKE RD LOT 36
FORT MYERS FL
33905-4404
US

IV. Provider business mailing address

1263 GOLDEN LAKE RD LOT 36
FORT MYERS FL
33905-4404
US

V. Phone/Fax

Practice location:
  • Phone: 740-751-8687
  • Fax:
Mailing address:
  • Phone: 740-751-8687
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: