Individual
EDEN LOUISE FRANDSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6735 FM 78 STE 102, SAN ANTONIO, TX 78244-1368
(210) 888-9960
Mailing address
10527 STAGGERING CRK, SAN ANTONIO, TX 78254-5349
(801) 635-4053
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
912324
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
1017810
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1017810
STATE APRN LICENSE
TX
01
—
912324
STATE NURSING LICENSE
TX
Enumeration date
06/12/2018
Last updated
10/24/2020
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