Provider Demographics
NPI:1023851995
Name:FRANK, MEGAN ROSE (CNM)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:ROSE
Last Name:FRANK
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:ROSE
Other - Last Name:HERRLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10055 CARMEN RD
Mailing Address - Street 2:
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014-1046
Mailing Address - Country:US
Mailing Address - Phone:504-940-7340
Mailing Address - Fax:
Practice Address - Street 1:760 RENZ LN
Practice Address - Street 2:
Practice Address - City:GILROY
Practice Address - State:CA
Practice Address - Zip Code:95020-9584
Practice Address - Country:US
Practice Address - Phone:408-847-1739
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-17
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA236436367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife