Provider Demographics
NPI:1538642699
Name:FRANK, TONJA LEE (RN)
Entity Type:Individual
Prefix:
First Name:TONJA
Middle Name:LEE
Last Name:FRANK
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 1:4606 TERRACE DR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68134-3062
Mailing Address - Country:US
Mailing Address - Phone:402-557-4715
Mailing Address - Fax:402-557-4709
Practice Address - Street 1:4606 TERRACE DR
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68134-3062
Practice Address - Country:US
Practice Address - Phone:402-557-4715
Practice Address - Fax:402-557-4709
Is Sole Proprietor?:No
Enumeration Date:2018-09-13
Last Update Date:2018-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE43921163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool