Basic Information
Provider Information
NPI: 1700992302
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FRANKS
FirstName: TANYA
MiddleName: R.
NamePrefix:  
NameSuffix:  
Credential: C.R.N.A.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: WOODS
OtherFirstName: TANYA
OtherMiddleName: R.
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: PO BOX 235022
Address2:  
City: MONTGOMERY
State: AL
PostalCode: 361235022
CountryCode: US
TelephoneNumber: 3343862051
FaxNumber: 3343966929
Practice Location
Address1: 1000 1ST ST N
Address2:  
City: ALABASTER
State: AL
PostalCode: 350078703
CountryCode: US
TelephoneNumber: 2056208948
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/23/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367500000X1-091286ALY Physician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered 

No ID Information.


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