Maureen B Frank, FNP

Individual provider Active NPI Nurse Practitioner · Fortuna, CA

NPI 1023183969 · NPPES record last updated Aug 20, 2020

Key facts

NPI
1023183969
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
NPF7882 (CA)
Practice address
3306 Renner Dr
Fortuna, CA 95540-3120
Phone
(707) 725-6101
Fax
(707) 725-2978
NPI assigned
Nov 22, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
7882CAMDAddiction (Substance Use Disorder) Counselor
NPF7882CAMDNurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NPF7882 CA Yes

Addresses

Primary practice location

3306 Renner Dr
Fortuna, CA 95540-3120

Mailing address

670 9TH Street
Suite 203
Arcata, CA 95521-6249
Phone (707) 826-8633

Other providers in Fortuna, CA

All providers in Fortuna, CA · Nurse Practitioner in California

Sources for this page

Verify at the official NPI Registry.