MEDICARE: MS. HOLLY BETH FRANKEL APRN

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	363LP0200X	Pediatric Nurse Practitioner	0024164588	VA
2	363LP0200X	Pediatric Nurse Practitioner	24123	SC

General Provider Information

NPI Number	:	1992957146
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. HOLLY BETH FRANKEL APRN

Provider Business Mailing Address
First Line	:	51 NASSAU ST
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29403-5513
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2047 COMSTOCK AVE
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29405-8117
Country	:	US
Telephone Number	:	540-846-1067
Fax Number	:

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

Provider Enumeration Date	:	10/21/2008
Last Update Date	:	06/19/2024

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