Healthcare Provider Details

I. General information

NPI: 1871024646
Provider Name (Legal Business Name): HOLLY ERIN FRANTZ IBCLC,MSN,WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2017
Last Update Date: 01/07/2022
Certification Date: 01/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 PEBBLE CREEK RD
NORMAN OK
73072-2822
US

IV. Provider business mailing address

12 PEBBLE CREEK RD
NORMAN OK
73072
US

V. Phone/Fax

Practice location:
  • Phone: 405-863-4461
  • Fax:
Mailing address:
  • Phone: 405-863-4461
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License NumberL-108453
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number202275
License Number StateOK
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number0086088
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: