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NPI Code Detail

MEDICARE: MARY V FRANCO

MEDICARE: MARY V FRANCO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse PractitionerVP004056BPA

General Provider Information

NPI Number : 1053335182
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY V FRANCO
Provider Business Mailing Address
First Line : 1358 LUTZTOWN RD
Second Line :
City : BOILING SPRINGS
State : PA
Zip : 17007-9302
Country : US
Telephone Number : 717-258-3274
Fax Number : 717-258-0311
Provider Business Practice Location Address
First Line : 1358 LUTZTOWN RD
Second Line :
City : BOILING SPRINGS
State : PA
Zip : 17007-9302
Country : US
Telephone Number : 717-258-3274
Fax Number : 717-258-0311
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2006
Last Update Date : 12/17/2007

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Directions to “ MARY V FRANCO ” Practice Location

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