Healthcare Provider Details

I. General information

NPI: 1992957146
Provider Name (Legal Business Name): HOLLY BETH FRANKEL APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/21/2008
Last Update Date: 06/19/2024
Certification Date: 06/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2047 COMSTOCK AVE
NORTH CHARLESTON SC
29405-8117
US

IV. Provider business mailing address

51 NASSAU ST
CHARLESTON SC
29403-5513
US

V. Phone/Fax

Practice location:
  • Phone: 540-846-1067
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number0024164588
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number24123
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: