MEDICARE: OLIVIA FRANKE

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	363A00000X	Physician Assistant	026957	NY
2	390200000X	Student in an Organized Health Care Education/Training Program
3	363A00000X	Physician Assistant	0110009434	VA

General Provider Information

NPI Number	:	1578166617
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLIVIA FRANKE

Provider Business Mailing Address
First Line	:	13008 GRANT CT
Second Line	:
City	:	SPOTSYLVANIA
State	:	VA
Zip	:	22551-7800
Country	:	US
Telephone Number	:	907-570-7911
Fax Number	:

Provider Business Practice Location Address
First Line	:	4444 GERMANNA HWY STE 310
Second Line	:
City	:	LOCUST GROVE
State	:	VA
Zip	:	22508-2039
Country	:	US
Telephone Number	:	540-972-6222
Fax Number	:

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

Provider Enumeration Date	:	11/20/2020
Last Update Date	:	08/07/2023

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Directions to “ OLIVIA FRANKE ” Practice Location

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