Provider Demographics
NPI:1891883187
Name:WINGARD, FRANKIE P (APRN , CPNP)
Entity Type:Individual
Prefix:MRS
First Name:FRANKIE
Middle Name:P
Last Name:WINGARD
Suffix:
Gender:F
Credentials:APRN , CPNP
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Mailing Address - Street 1:5 RICHLAND MEDICAL PARK DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29203-6863
Mailing Address - Country:US
Mailing Address - Phone:803-434-2300
Mailing Address - Fax:803-254-2611
Practice Address - Street 1:1924 MAIN ST
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29201-2412
Practice Address - Country:US
Practice Address - Phone:803-434-2300
Practice Address - Fax:803-254-2611
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SC551363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics