Provider Demographics
NPI:1053624254
Name:COLLINS WALKER, FRANKIE MICHELLE (LPN)
Entity type:Individual
Prefix:MRS
First Name:FRANKIE
Middle Name:MICHELLE
Last Name:COLLINS WALKER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MRS
Other - First Name:FRANKIE
Other - Middle Name:MICHELLE
Other - Last Name:COLLINS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:3269 E 118TH ST
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44120-3818
Mailing Address - Country:US
Mailing Address - Phone:216-210-1985
Mailing Address - Fax:216-283-4055
Practice Address - Street 1:3269 E 118TH ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44120-3818
Practice Address - Country:US
Practice Address - Phone:216-210-1985
Practice Address - Fax:216-283-4055
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-16
Last Update Date:2010-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN078253IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse