Healthcare Provider Details

I. General information

NPI: 1497202337
Provider Name (Legal Business Name): FRANCESCA MEPHORS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2016
Last Update Date: 09/30/2024
Certification Date: 09/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13936 LEMOLI AVE
HAWTHORNE CA
90250-8854
US

IV. Provider business mailing address

13936 LEMOLI AVE
HAWTHORNE CA
90250-8854
US

V. Phone/Fax

Practice location:
  • Phone: 424-200-3333
  • Fax:
Mailing address:
  • Phone: 424-200-3333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95005238
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number709466
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: