Provider Demographics
NPI:1316068851
Name:FRANKENFIELD, DIANE L (DRPH, MPH, RPH)
Entity type:Individual
Prefix:DR
First Name:DIANE
Middle Name:L
Last Name:FRANKENFIELD
Suffix:
Gender:F
Credentials:DRPH, MPH, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 BOXTHORN RD
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:MD
Mailing Address - Zip Code:21009-1717
Mailing Address - Country:US
Mailing Address - Phone:410-569-1288
Mailing Address - Fax:
Practice Address - Street 1:7500 SECURITY BLVD
Practice Address - Street 2:MAILSTOP C3-19-07
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21244-1849
Practice Address - Country:US
Practice Address - Phone:410-786-7293
Practice Address - Fax:410-786-5515
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-09546183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist