Provider Demographics
NPI:1871024646
Name:FRANTZ, HOLLY ERIN (IBCLC,MSN,WHNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:HOLLY
Middle Name:ERIN
Last Name:FRANTZ
Suffix:
Gender:F
Credentials:IBCLC,MSN,WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 PEBBLE CREEK RD
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73072
Mailing Address - Country:US
Mailing Address - Phone:405-863-4461
Mailing Address - Fax:
Practice Address - Street 1:12 PEBBLE CREEK RD
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73072-2822
Practice Address - Country:US
Practice Address - Phone:405-863-4461
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-23
Last Update Date:2022-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKL-108453163WL0100X
OK202275363LW0102X
OK0086088163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK163WL0100XMedicaid