Provider Demographics
NPI:1518202753
Name:FRANKE, TARRIE ANN (ANP-BC)
Entity Type:Individual
Prefix:MRS
First Name:TARRIE
Middle Name:ANN
Last Name:FRANKE
Suffix:
Gender:F
Credentials:ANP-BC
Other - Prefix:
Other - First Name:TARRIE
Other - Middle Name:ANN
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:G3371 BEECHER RD
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-3621
Mailing Address - Country:US
Mailing Address - Phone:810-238-3631
Mailing Address - Fax:810-234-5206
Practice Address - Street 1:G3371 BEECHER RD
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-3621
Practice Address - Country:US
Practice Address - Phone:810-238-3631
Practice Address - Fax:810-234-5206
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-28
Last Update Date:2019-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704144431163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1518202753OtherBLUE CROSS BLUE SHIELD
MI1518202753Medicaid
MI1518202753OtherHAP
MI1518202753OtherUNITED HEALTH CARE
MI1518202753OtherBCN