Healthcare Provider Details

I. General information

NPI: 1497866792
Provider Name (Legal Business Name): FRANCESCA ANN GROUSIS MSN, NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 02/16/2021
Certification Date: 02/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1107 O ST
FIREBAUGH CA
93622-2224
US

IV. Provider business mailing address

1107 O ST
FIREBAUGH CA
93622-2224
US

V. Phone/Fax

Practice location:
  • Phone: 559-659-9000
  • Fax: 559-659-9017
Mailing address:
  • Phone: 559-659-9000
  • Fax: 559-659-9017

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP 7048
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberNP 7048
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberNP 7048
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberNP 7048
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: