Provider Demographics
NPI:1316929144
Name:FRANKINI, ANN MARIE K (FNP)
Entity type:Individual
Prefix:
First Name:ANN MARIE
Middle Name:K
Last Name:FRANKINI
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1721 S STEPHENSON AVE
Mailing Address - Street 2:PO BOX 549
Mailing Address - City:IRON MOUNTAIN
Mailing Address - State:MI
Mailing Address - Zip Code:49801-3637
Mailing Address - Country:US
Mailing Address - Phone:906-774-1313
Mailing Address - Fax:906-776-5639
Practice Address - Street 1:1711 S STEPHENSON AVE
Practice Address - Street 2:SUITE 225
Practice Address - City:IRON MOUNTAIN
Practice Address - State:MI
Practice Address - Zip Code:49801-3639
Practice Address - Country:US
Practice Address - Phone:906-776-5860
Practice Address - Fax:906-776-5833
Is Sole Proprietor?:No
Enumeration Date:2005-11-17
Last Update Date:2011-09-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4704139048363L00000X
WI974033363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI43920600Medicaid
MI4586870Medicaid
WI43920600Medicaid
MIP09227Medicare UPIN
WIWI1196003Medicare PIN
WI210100006Medicare PIN