Provider Demographics
NPI:1780712174
Name:FRANKS, SHERRY A (PA-C)
Entity type:Individual
Prefix:MRS
First Name:SHERRY
Middle Name:A
Last Name:FRANKS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 269
Mailing Address - Street 2:
Mailing Address - City:SOUTH BEND
Mailing Address - State:WA
Mailing Address - Zip Code:98586-0269
Mailing Address - Country:US
Mailing Address - Phone:360-875-5579
Mailing Address - Fax:360-875-5235
Practice Address - Street 1:826 ALDER ST
Practice Address - Street 2:
Practice Address - City:SOUTH BEND
Practice Address - State:WA
Practice Address - Zip Code:98586-4900
Practice Address - Country:US
Practice Address - Phone:360-875-5579
Practice Address - Fax:360-875-5235
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2019-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPA10003371363AM0700X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8856114Medicare ID - Type Unspecified