Healthcare Provider Details

I. General information

NPI: 1144295437
Provider Name (Legal Business Name): ELIZABETH G. FRANKLIN F.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2006
Last Update Date: 08/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2112 SEYMOUR AVE
CHEYENNE WY
82001-3830
US

IV. Provider business mailing address

2112 SEYMOUR AVE
CHEYENNE WY
82001-3830
US

V. Phone/Fax

Practice location:
  • Phone: 307-635-8299
  • Fax:
Mailing address:
  • Phone: 307-635-8299
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number18325.374
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: