Provider Demographics
NPI:1912670985
Name:FRANTZ, ALEXANDRIA E
Entity type:Individual
Prefix:
First Name:ALEXANDRIA
Middle Name:E
Last Name:FRANTZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3507 AUTUMN WAY
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40218-1319
Mailing Address - Country:US
Mailing Address - Phone:502-298-2276
Mailing Address - Fax:
Practice Address - Street 1:3507 AUTUMN WAY
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40218-1319
Practice Address - Country:US
Practice Address - Phone:502-298-2995
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-27
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1140644163WS0200X
KY3016989367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163WS0200XNursing Service ProvidersRegistered NurseSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY1140644OtherKENTUCKY BOARD OF NURSING