Provider Demographics
NPI:1467688796
Name:FRANKLIN, GWENDOLYN ANNETTE (RN)
Entity Type:Individual
Prefix:MS
First Name:GWENDOLYN
Middle Name:ANNETTE
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:74 TIMBERVIEW DR
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-4101
Mailing Address - Country:US
Mailing Address - Phone:248-242-3662
Mailing Address - Fax:
Practice Address - Street 1:74 TIMBERVIEW DR
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-4101
Practice Address - Country:US
Practice Address - Phone:248-242-3662
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-01
Last Update Date:2009-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704130141163W00000X, 251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No251J00000XAgenciesNursing Care