Healthcare Provider Details

I. General information

NPI: 1982809398
Provider Name (Legal Business Name): AMY JOY FRANKSTON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2007
Last Update Date: 01/28/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

WALTER REED NATIONAL MILITARY CTR 8901 ROCKVILLE PIKE
BETHESDA MD
20889-5600
US

IV. Provider business mailing address

8901 WISCONSIN AVE NEPHROLOGY CLINIC
BETHESDA MD
20889-0004
US

V. Phone/Fax

Practice location:
  • Phone: 301-295-4331
  • Fax:
Mailing address:
  • Phone: 301-295-4331
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number0101246547
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: