Provider Demographics
NPI:1972597862
Name:FRANKS, PAMELA J (MS, ARNP)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:J
Last Name:FRANKS
Suffix:
Gender:F
Credentials:MS, ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1121 SW GAGE BLVD
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66604-1774
Mailing Address - Country:US
Mailing Address - Phone:785-228-9559
Mailing Address - Fax:785-286-1289
Practice Address - Street 1:1121 SW GAGE BLVD
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66604-1774
Practice Address - Country:US
Practice Address - Phone:785-228-9559
Practice Address - Fax:785-286-1289
Is Sole Proprietor?:No
Enumeration Date:2005-09-07
Last Update Date:2017-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS74521363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100255250DMedicaid
KSS49589Medicare UPIN
KS160979Medicare ID - Type Unspecified