Provider Demographics
NPI:1841808532
Name:FRANK, HANNAH ELYSE (PA-C)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:ELYSE
Last Name:FRANK
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 909
Mailing Address - Street 2:
Mailing Address - City:BURNS
Mailing Address - State:OR
Mailing Address - Zip Code:97720-0909
Mailing Address - Country:US
Mailing Address - Phone:512-636-6967
Mailing Address - Fax:
Practice Address - Street 1:420 N FAIRVIEW AVE
Practice Address - Street 2:
Practice Address - City:BURNS
Practice Address - State:OR
Practice Address - Zip Code:97720-1416
Practice Address - Country:US
Practice Address - Phone:541-573-2271
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-19
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program