Provider Demographics
NPI:1982239315
Name:FRANKLIN, ANDREA LYNETTE
Entity Type:Individual
Prefix:MS
First Name:ANDREA
Middle Name:LYNETTE
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ANDREA
Other - Middle Name:LYNETTE
Other - Last Name:FRANKLIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:900 GRANBY ST
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23510-2503
Mailing Address - Country:US
Mailing Address - Phone:757-537-3758
Mailing Address - Fax:
Practice Address - Street 1:900 GRANBY ST
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23510-2503
Practice Address - Country:US
Practice Address - Phone:757-537-3758
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-05
Last Update Date:2020-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health