Provider Demographics
NPI:1679635650
Name:SIVESS FRANKS, SUE ANNE (APRN, BC, OCN)
Entity Type:Individual
Prefix:
First Name:SUE
Middle Name:ANNE
Last Name:SIVESS FRANKS
Suffix:
Gender:F
Credentials:APRN, BC, OCN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9957 BUSINESS HIGHWAY 34 S
Mailing Address - Street 2:
Mailing Address - City:QUINLAN
Mailing Address - State:TX
Mailing Address - Zip Code:75474-8206
Mailing Address - Country:US
Mailing Address - Phone:903-356-3000
Mailing Address - Fax:
Practice Address - Street 1:4500 S LANCASTER RD
Practice Address - Street 2:HEMATOLOGY-ONCOLOGY (111C)
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75216-7167
Practice Address - Country:US
Practice Address - Phone:214-857-0737
Practice Address - Fax:214-857-1457
Is Sole Proprietor?:No
Enumeration Date:2006-12-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX596902363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care