Provider Demographics
NPI:1831269554
Name:FRANZ, PAMELA KAY
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:KAY
Last Name:FRANZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 N EAST AVE
Mailing Address - Street 2:
Mailing Address - City:DESHLER
Mailing Address - State:OH
Mailing Address - Zip Code:43516-1216
Mailing Address - Country:US
Mailing Address - Phone:419-619-1205
Mailing Address - Fax:
Practice Address - Street 1:401 N EAST AVE
Practice Address - Street 2:
Practice Address - City:DESHLER
Practice Address - State:OH
Practice Address - Zip Code:43516-1216
Practice Address - Country:US
Practice Address - Phone:419-619-1205
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2010-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2340578372500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider