Provider Demographics
NPI:1790243848
Name:FRAHN, DAVID P
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:P
Last Name:FRAHN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4379 CY CLIFFVIEW CIR APT 3
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89121-1851
Mailing Address - Country:US
Mailing Address - Phone:562-644-7673
Mailing Address - Fax:
Practice Address - Street 1:7800 QUARTER HORSE AVE
Practice Address - Street 2:
Practice Address - City:PAHRUMP
Practice Address - State:NV
Practice Address - Zip Code:89061-8405
Practice Address - Country:US
Practice Address - Phone:562-644-7673
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-07
Last Update Date:2019-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
5626447673OtherPHONE NUMBER
573178OtherLVAC