Provider Demographics
NPI:1275770299
Name:FRANK, CARRIE MARIE (CRNA)
Entity Type:Individual
Prefix:MS
First Name:CARRIE
Middle Name:MARIE
Last Name:FRANK
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:MS
Other - First Name:CARRIE
Other - Middle Name:M
Other - Last Name:SCHUMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:24270 E WYOMING PL
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80018-6140
Mailing Address - Country:US
Mailing Address - Phone:616-706-5434
Mailing Address - Fax:616-364-7347
Practice Address - Street 1:24270 E WYOMING PL
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80018-6140
Practice Address - Country:US
Practice Address - Phone:616-706-5434
Practice Address - Fax:616-364-7347
Is Sole Proprietor?:No
Enumeration Date:2009-01-13
Last Update Date:2014-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704235760367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIM73860047Medicaid
CO1275770299Medicaid
CO329095YKTG-GCAMedicare PIN