Healthcare Provider Details

I. General information

NPI: 1487621637
Provider Name (Legal Business Name): CHRISTINE MARIE FRANKE MS APRN BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2006
Last Update Date: 08/09/2023
Certification Date: 08/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 BRECKNOCK RD
GREENPORT NY
11944-3100
US

IV. Provider business mailing address

1600 BRECKNOCK RD
GREENPORT NY
11944-3100
US

V. Phone/Fax

Practice location:
  • Phone: 631-749-5910
  • Fax:
Mailing address:
  • Phone: 631-749-5910
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberF302333
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: