MEDICARE: VIRGINIA G FRANKS CRNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	28181596A	IN
2	367500000X	Certified Registered Nurse Anesthetist	2001000464	MO
3	367500000X	Certified Registered Nurse Anesthetist	43-55513-111	KS
4	163W00000X	Registered Nurse	1385665111	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	000000734003	OTHER	IN	ANTHEM PROVIDER NUMBER
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174576227
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VIRGINIA G FRANKS CRNA

Provider Business Mailing Address
First Line	:	2 CIRCLE CREEK WAY
Second Line	:
City	:	ORMOND BEACH
State	:	FL
Zip	:	32174-1823
Country	:	US
Telephone Number	:	913-961-0415
Fax Number	:

Provider Business Practice Location Address
First Line	:	2 CIRCLE CREEK WAY
Second Line	:
City	:	ORMOND BEACH
State	:	FL
Zip	:	32174-1823
Country	:	US
Telephone Number	:	913-961-0415
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2006
Last Update Date	:	08/18/2022

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Directions to “ VIRGINIA G FRANKS CRNA” Practice Location

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