Provider Demographics
NPI:1124660972
Name:FRANCK, IRENE (PMHNP)
Entity type:Individual
Prefix:
First Name:IRENE
Middle Name:
Last Name:FRANCK
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:441 SAYBROOK LN
Mailing Address - Street 2:
Mailing Address - City:WALLINGFORD
Mailing Address - State:PA
Mailing Address - Zip Code:19086-6757
Mailing Address - Country:US
Mailing Address - Phone:610-547-3539
Mailing Address - Fax:
Practice Address - Street 1:530 RIDGE AVE
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18102-5117
Practice Address - Country:US
Practice Address - Phone:484-221-9270
Practice Address - Fax:888-416-1801
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-14
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP020849363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty