Provider Demographics
NPI:1982333514
Name:FRONK, KAREN (AGNP, BSN, RN)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:FRONK
Suffix:
Gender:F
Credentials:AGNP, BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1945 RIDGEHILL DR
Mailing Address - Street 2:
Mailing Address - City:BOUNTIFUL
Mailing Address - State:UT
Mailing Address - Zip Code:84010-1022
Mailing Address - Country:US
Mailing Address - Phone:702-686-3760
Mailing Address - Fax:
Practice Address - Street 1:522 E 100 S
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84102-1905
Practice Address - Country:US
Practice Address - Phone:801-485-5055
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-08
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT11950483-4405363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty