Basic Information
| Provider Information | |||||||||
| NPI: | 1538116942 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FRAME | ||||||||
| FirstName: | MICHAEL | ||||||||
| MiddleName: | LEE | ||||||||
| NamePrefix: | MR. | ||||||||
| NameSuffix: | JR. | ||||||||
| Credential: | CRNA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 64 DEWEY DR | ||||||||
| Address2: | |||||||||
| City: | ELKVIEW | ||||||||
| State: | WV | ||||||||
| PostalCode: | 250719476 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3049354070 | ||||||||
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| Practice Location | |||||||||
| Address1: | 100 HOYLMAN DR | ||||||||
| Address2: | |||||||||
| City: | GASSAWAY | ||||||||
| State: | WV | ||||||||
| PostalCode: | 266249321 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3043645156 | ||||||||
| FaxNumber: | 3043645809 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/30/2006 | ||||||||
| LastUpdateDate: | 05/23/2008 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 367500000X | 57711 | WV | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered |
No ID Information.