Healthcare Provider Details

I. General information

NPI: 1144429002
Provider Name (Legal Business Name): CARLA FRANKS CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2007
Last Update Date: 12/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AMEDYSIS HOSPICE 2183 MCCLELLANDTOWN ROAD
MASONTOWN PA
15461-1727
US

IV. Provider business mailing address

211 STERLING AVE
MASONTOWN PA
15461-1727
US

V. Phone/Fax

Practice location:
  • Phone: 724-583-2680
  • Fax: 724-583-2685
Mailing address:
  • Phone: 724-557-0987
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP006680
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: