Healthcare Provider Details

I. General information

NPI: 1396189262
Provider Name (Legal Business Name): ERICA LAUREN FRANKS PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2013
Last Update Date: 01/27/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

403 MARVEL CT
EASTON MD
21601-4053
US

IV. Provider business mailing address

403 MARVEL CT
EASTON MD
21601-4053
US

V. Phone/Fax

Practice location:
  • Phone: 410-819-8867
  • Fax: 410-822-0416
Mailing address:
  • Phone: 410-819-8867
  • Fax: 410-822-0416

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberC0005046
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: