Healthcare Provider Details

I. General information

NPI: 1891296976
Provider Name (Legal Business Name): JOSEPH ALBERTO FRANCISCO FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2018
Last Update Date: 02/23/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 SANTA FE WAY
SHAFTER CA
93263-3158
US

IV. Provider business mailing address

5400 ALDRIN CT
BAKERSFIELD CA
93313-2103
US

V. Phone/Fax

Practice location:
  • Phone: 661-746-7244
  • Fax: 661-746-7262
Mailing address:
  • Phone: 661-489-5999
  • Fax: 661-489-5991

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95007984
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: