Provider Demographics
NPI:1518202753
Name:FRANKE, TARRIE ANN (ANP-BC)
Entity type:Individual
Prefix:MRS
First Name:TARRIE
Middle Name:ANN
Last Name:FRANKE
Suffix:
Gender:F
Credentials:ANP-BC
Other - Prefix:
Other - First Name:TARRIE
Other - Middle Name:ANN
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:30600 TELEGRAPH RD STE 1130
Mailing Address - Street 2:
Mailing Address - City:BINGHAM FARMS
Mailing Address - State:MI
Mailing Address - Zip Code:48025-4531
Mailing Address - Country:US
Mailing Address - Phone:248-621-0370
Mailing Address - Fax:
Practice Address - Street 1:41800 W 11 MILE RD STE 109
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48375-1818
Practice Address - Country:US
Practice Address - Phone:248-701-2600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-28
Last Update Date:2025-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704144431363LG0600X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1518202753OtherHAP
MI1518202753Medicaid
MI1518202753OtherBLUE CROSS BLUE SHIELD
MI1518202753OtherBCN
MI1518202753OtherUNITED HEALTH CARE