Healthcare Provider Details

I. General information

NPI: 1497799068
Provider Name (Legal Business Name): VINNETTE FRANK PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1316 S MAIN ST
CLARION IA
50525-2019
US

IV. Provider business mailing address

2851 HIGHWAY 3
ROWAN IA
50470-7515
US

V. Phone/Fax

Practice location:
  • Phone: 515-532-2811
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number001458
License Number StateIA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier33444
Identifier TypeOTHER
Identifier StateIA
Identifier IssuerFPC BCBS NRH
# 2
Identifier36174
Identifier TypeOTHER
Identifier StateIA
Identifier IssuerBCBS DME
# 3
Identifier0424507
Identifier TypeMEDICAID
Identifier StateIA
Identifier Issuer
# 4
Identifier0600460
Identifier TypeMEDICAID
Identifier StateIA
Identifier Issuer
# 5
Identifier0293522
Identifier TypeMEDICAID
Identifier StateIA
Identifier Issuer
# 6
Identifier0655001
Identifier TypeMEDICAID
Identifier StateIA
Identifier Issuer
# 7
Identifier0283465
Identifier TypeMEDICAID
Identifier StateIA
Identifier Issuer
# 8
Identifier29352
Identifier TypeOTHER
Identifier StateIA
Identifier IssuerBCBS ER
# 9
Identifier66046
Identifier TypeOTHER
Identifier StateIA
Identifier IssuerBCBS SNF
# 10
Identifier0635011
Identifier TypeMEDICAID
Identifier StateIA
Identifier Issuer
# 11
Identifier60046
Identifier TypeOTHER
Identifier StateIA
Identifier IssuerBCBS REG

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: