Provider Demographics
NPI:1124011390
Name:FRANZEN, JUNE (NP)
Entity Type:Individual
Prefix:
First Name:JUNE
Middle Name:
Last Name:FRANZEN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:805 SPRUCE AVE
Mailing Address - Street 2:
Mailing Address - City:BARRETT
Mailing Address - State:MN
Mailing Address - Zip Code:56311-4505
Mailing Address - Country:US
Mailing Address - Phone:320-669-2662
Mailing Address - Fax:320-528-2009
Practice Address - Street 1:805 SPRUCE AVE
Practice Address - Street 2:
Practice Address - City:BARRETT
Practice Address - State:MN
Practice Address - Zip Code:56311-4505
Practice Address - Country:US
Practice Address - Phone:320-669-2662
Practice Address - Fax:320-528-2009
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-23
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP4009363LW0102X
MN10155363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ150796Medicare PIN