Ronda Frank

Individual provider Active NPI Licensed Practical Nurse · Marietta, NY

NPI 1992280028 · NPPES record last updated Sep 25, 2018

Key facts

NPI
1992280028
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
282040 (NY)
Practice address
2583 Kamm Rd
Marietta, NY 13110-3119
Phone
(315) 415-0638
NPI assigned
Sep 25, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 282040 NY Yes

Addresses

Primary practice location

2583 Kamm Rd
Marietta, NY 13110-3119

Mailing address

2583 Kamm Rd
Marietta, NY 13110-3119
Phone (315) 415-0638

Other providers in Marietta, NY

All providers in Marietta, NY · Licensed Practical Nurse in New York

Sources for this page

Verify at the official NPI Registry.