Provider Demographics
NPI:1053570721
Name:FRANK, TERRY ALAN (RN, BSN, DAPA)
Entity type:Individual
Prefix:MR
First Name:TERRY
Middle Name:ALAN
Last Name:FRANK
Suffix:
Gender:M
Credentials:RN, BSN, DAPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4023 N 47TH PL
Mailing Address - Street 2:
Mailing Address - City:SHEBOYGAN
Mailing Address - State:WI
Mailing Address - Zip Code:53083-2554
Mailing Address - Country:US
Mailing Address - Phone:920-459-8866
Mailing Address - Fax:920-459-8866
Practice Address - Street 1:4023 N 47TH PL
Practice Address - Street 2:
Practice Address - City:SHEBOYGAN
Practice Address - State:WI
Practice Address - Zip Code:53083-2554
Practice Address - Country:US
Practice Address - Phone:920-459-8866
Practice Address - Fax:920-459-8866
Is Sole Proprietor?:No
Enumeration Date:2008-06-06
Last Update Date:2008-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI78712-030163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health