Provider Demographics
NPI:1659700102
Name:FRANK, CAROL (NP)
Entity Type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:
Last Name:FRANK
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8520 QUAIL OAKS DR
Mailing Address - Street 2:
Mailing Address - City:GRANITE BAY
Mailing Address - State:CA
Mailing Address - Zip Code:95746-6068
Mailing Address - Country:US
Mailing Address - Phone:916-765-4566
Mailing Address - Fax:
Practice Address - Street 1:8520 QUAIL OAKS DR
Practice Address - Street 2:
Practice Address - City:GRANITE BAY
Practice Address - State:CA
Practice Address - Zip Code:95746-6068
Practice Address - Country:US
Practice Address - Phone:916-765-4566
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-05
Last Update Date:2013-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA472811363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology