Healthcare Provider Details

I. General information

NPI: 1326390386
Provider Name (Legal Business Name): AMY J. FRANKLIN N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/15/2012
Last Update Date: 07/11/2022
Certification Date: 07/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 N WISCONSIN AVE
MUSCODA WI
53573-9251
US

IV. Provider business mailing address

303 N OHIO ST
MUSCODA WI
53573-9205
US

V. Phone/Fax

Practice location:
  • Phone: 608-739-3138
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5081-33
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number5081
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: