MEDICARE: ERICA FRANK FIRST ASSISTING SERVICE LLC

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	163WR0006X	Registered Nurse First Assistant

General Provider Information

NPI Number	:	1477191302
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ERICA FRANK FIRST ASSISTING SERVICE LLC

Provider Business Mailing Address
First Line	:	3231 HEARTHRIDGE CIR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-5845
Country	:	US
Telephone Number	:	303-345-5990
Fax Number	:

Provider Business Practice Location Address
First Line	:	3231 HEARTHRIDGE CIR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-5845
Country	:	US
Telephone Number	:	303-345-5990
Fax Number	:

Authorized Official
Title or Position	:	REGISTERED NURSE FIRST ASSIST
Name	:	ERICA FRANK
Credential	:	RNFA, CNOR, BSN
Telephone Number	:	303-345-5990

Provider Enumeration Date	:	12/10/2019
Last Update Date	:	12/10/2019

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