Provider Demographics
NPI:1922046283
Name:FRANKLE, DIANE E (CRNA)
Entity Type:Individual
Prefix:MS
First Name:DIANE
Middle Name:E
Last Name:FRANKLE
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:949 SEAGATE DR
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33483-6617
Mailing Address - Country:US
Mailing Address - Phone:561-302-6557
Mailing Address - Fax:
Practice Address - Street 1:1905 CLINT MOORE RD
Practice Address - Street 2:SUITE 303
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33496-2658
Practice Address - Country:US
Practice Address - Phone:561-998-3333
Practice Address - Fax:561-353-1583
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-02
Last Update Date:2011-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1273402367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLG0913OtherBCBS OF FLORIDA
FL307006900Medicaid
FLG0913VMedicare PIN
FLG0913BMedicare PIN
FLG0913AMedicare PIN