Provider Demographics
NPI:1871153189
Name:FRANKS, MARY KATHRYN (APRN, NP-C)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:KATHRYN
Last Name:FRANKS
Suffix:
Gender:F
Credentials:APRN, NP-C
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:KATHRYN
Other - Last Name:MONSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, APRN
Mailing Address - Street 1:702 S BURSON ST
Mailing Address - Street 2:
Mailing Address - City:YATES CITY
Mailing Address - State:IL
Mailing Address - Zip Code:61572-7572
Mailing Address - Country:US
Mailing Address - Phone:309-351-1116
Mailing Address - Fax:
Practice Address - Street 1:1615 N NORTH ST
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:IL
Practice Address - Zip Code:61604-4131
Practice Address - Country:US
Practice Address - Phone:309-282-1020
Practice Address - Fax:309-999-5737
Is Sole Proprietor?:No
Enumeration Date:2019-06-18
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.019490363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily