Individual
FRANK ERIC FANKAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
315 HOSPITAL DR, MADISON, TN 37115-5030
(815) 600-2055
Mailing address
1201 CHURCH ST APT 210, NASHVILLE, TN 37203-3668
(815) 600-2055
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
217833
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
209024771
IL
Other
Enumeration date
09/16/2021
Last updated
02/02/2023
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