Healthcare Provider Details

I. General information

NPI: 1518239102
Provider Name (Legal Business Name): ROBIN E FRANTZ APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2012
Last Update Date: 03/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

82 CATAMOUNT PARK
MIDDLEBURY VT
05753-1292
US

IV. Provider business mailing address

104 PORTER DR
MIDDLEBURY VT
05753-8527
US

V. Phone/Fax

Practice location:
  • Phone: 802-388-7185
  • Fax: 802-388-3445
Mailing address:
  • Phone: 802-388-5682
  • Fax: 802-388-8322

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number101-0084509
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: