Individual
VINNETTE FRANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1316 S MAIN ST, CLARION, IA 50525-2019
(515) 532-2811
Mailing address
2851 HIGHWAY 3, ROWAN, IA 50470-7515
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001458
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0283465
—
IA
05
—
0293522
—
IA
05
—
0424507
—
IA
05
—
0600460
—
IA
05
—
0635011
—
IA
05
—
0655001
—
IA
01
—
29352
BCBS ER
IA
01
—
33444
FPC BCBS NRH
IA
01
—
36174
BCBS DME
IA
01
—
60046
BCBS REG
IA
01
—
66046
BCBS SNF
IA
Enumeration date
06/15/2006
Last updated
07/09/2007
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