Provider Demographics
NPI:1144429002
Name:FRANKS, CARLA (CRNP)
Entity Type:Individual
Prefix:
First Name:CARLA
Middle Name:
Last Name:FRANKS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 STERLING AVE
Mailing Address - Street 2:
Mailing Address - City:MASONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15461-1727
Mailing Address - Country:US
Mailing Address - Phone:724-557-0987
Mailing Address - Fax:
Practice Address - Street 1:AMEDYSIS HOSPICE
Practice Address - Street 2:2183 MCCLELLANDTOWN ROAD
Practice Address - City:MASONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15461-1727
Practice Address - Country:US
Practice Address - Phone:724-583-2680
Practice Address - Fax:724-583-2685
Is Sole Proprietor?:No
Enumeration Date:2007-07-12
Last Update Date:2018-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP006680363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA098412D4ZMedicare PIN
PA098142XRUMedicare UPIN