Provider Demographics
NPI:1528018934
Name:FRANTZ, ANNETTE M (WHNP)
Entity Type:Individual
Prefix:
First Name:ANNETTE
Middle Name:M
Last Name:FRANTZ
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2428 DOVE LOOP RD
Mailing Address - Street 2:
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051-4953
Mailing Address - Country:US
Mailing Address - Phone:817-416-0447
Mailing Address - Fax:
Practice Address - Street 1:3537 S I-35 E
Practice Address - Street 2:SUITE 210
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76210-6800
Practice Address - Country:US
Practice Address - Phone:940-381-2313
Practice Address - Fax:940-381-5249
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2013-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX647135363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX139591519Medicaid
TX139591519Medicaid