Provider Demographics
NPI:1578010609
Name:FRANTZ, ANDREA THERESA (APRN)
Entity type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:THERESA
Last Name:FRANTZ
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1676 E MCMURRAY BLVD STE 1
Mailing Address - Street 2:
Mailing Address - City:CASA GRANDE
Mailing Address - State:AZ
Mailing Address - Zip Code:85122-4798
Mailing Address - Country:US
Mailing Address - Phone:520-316-0688
Mailing Address - Fax:
Practice Address - Street 1:1676 E MCMURRAY BLVD STE 1
Practice Address - Street 2:
Practice Address - City:CASA GRANDE
Practice Address - State:AZ
Practice Address - Zip Code:85122-4798
Practice Address - Country:US
Practice Address - Phone:520-316-0688
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-07
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY731395163W00000X
CT111168163W00000X
CT6709363LF0000X
AZ243310363LF0000X
NY341735363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse