Provider Demographics
NPI:1619029907
Name:FRANKLAND, MICHELLE (MSN, NP)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:
Last Name:FRANKLAND
Suffix:
Gender:F
Credentials:MSN, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 TAYLOR BLVD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-2147
Mailing Address - Country:US
Mailing Address - Phone:925-677-5041
Mailing Address - Fax:925-677-5025
Practice Address - Street 1:400 TAYLOR BLVD
Practice Address - Street 2:SUITE 202
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523-2147
Practice Address - Country:US
Practice Address - Phone:925-677-5041
Practice Address - Fax:925-677-5025
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2014-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA577477363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner