Provider Demographics
NPI:1568978435
Name:FRANKE, DEEDRA DOWDEN (RN, BSN, IBCLC)
Entity Type:Individual
Prefix:MRS
First Name:DEEDRA
Middle Name:DOWDEN
Last Name:FRANKE
Suffix:
Gender:F
Credentials:RN, BSN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:511 MURDOCK RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21212-2021
Mailing Address - Country:US
Mailing Address - Phone:410-371-3237
Mailing Address - Fax:
Practice Address - Street 1:10807 FALLS RD STE 200
Practice Address - Street 2:
Practice Address - City:LUTHERVILLE
Practice Address - State:MD
Practice Address - Zip Code:21093-4595
Practice Address - Country:US
Practice Address - Phone:410-321-9393
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-14
Last Update Date:2017-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDRO76666163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Single Specialty