Provider Demographics
NPI:1932657004
Name:FRANK, WHITNEY MARIE (NP-C)
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:MARIE
Last Name:FRANK
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:WHITNEY
Other - Middle Name:MARIE
Other - Last Name:BIRCHMEIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP-C
Mailing Address - Street 1:631 LAYNE DR # 1
Mailing Address - Street 2:
Mailing Address - City:WEST BURLINGTON
Mailing Address - State:IA
Mailing Address - Zip Code:52655-1038
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:330 SW ADAMS ST
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:IL
Practice Address - Zip Code:61602-1502
Practice Address - Country:US
Practice Address - Phone:833-673-5867
Practice Address - Fax:309-308-2695
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-16
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704283654363LF0000X
IAA171163363LF0000X
IL209031280363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily