Provider Demographics
NPI:1063753465
Name:FRANK, STEPHEN MICHAEL (APRN)
Entity type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:MICHAEL
Last Name:FRANK
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3333 S PINNACLE HILLS PKWY STE 300A
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72758-9000
Mailing Address - Country:US
Mailing Address - Phone:479-271-7077
Mailing Address - Fax:479-271-7035
Practice Address - Street 1:3333 S PINNACLE HILLS PKWY STE 300A
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72758-9000
Practice Address - Country:US
Practice Address - Phone:479-271-7077
Practice Address - Fax:479-271-7035
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-09
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARR069223163W00000X
AR219571363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No163W00000XNursing Service ProvidersRegistered Nurse