Provider Demographics
NPI:1003837196
Name:ANTKOWIAK, FRANCES ANNE (APNP)
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:ANNE
Last Name:ANTKOWIAK
Suffix:
Gender:F
Credentials:APNP
Other - Prefix:
Other - First Name:FRANCES
Other - Middle Name:ANNE
Other - Last Name:KREIMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:101 WILLMAR AVE SW
Mailing Address - Street 2:
Mailing Address - City:WILLMAR
Mailing Address - State:MN
Mailing Address - Zip Code:56201-3556
Mailing Address - Country:US
Mailing Address - Phone:320-231-5000
Mailing Address - Fax:320-231-5067
Practice Address - Street 1:101 WILLMAR AVE SW
Practice Address - Street 2:
Practice Address - City:WILLMAR
Practice Address - State:MN
Practice Address - Zip Code:56201-3556
Practice Address - Country:US
Practice Address - Phone:320-231-5000
Practice Address - Fax:320-231-5067
Is Sole Proprietor?:No
Enumeration Date:2006-07-22
Last Update Date:2014-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI79127163W00000X
WI780363L00000X
MNR218963-1363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
S76328Medicare UPIN
WI07028-0223Medicare PIN
07125-0061Medicare ID - Type Unspecified
WI43893500Medicaid