Healthcare Provider Details
I. General information
NPI: 1609810514
Provider Name (Legal Business Name): ELAINE ESIELONIS FRANCIS ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/15/2006
Last Update Date: 05/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
224 SE 24TH ST
GAINESVILLE FL
32641-7516
US
IV. Provider business mailing address
224 SE 24TH ST
GAINESVILLE FL
32641-7516
US
V. Phone/Fax
- Phone: 352-334-7900
- Fax: 352-955-2126
- Phone: 352-334-7900
- Fax: 352-955-2126
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0200X |
| Taxonomy | Pediatric Nurse Practitioner |
| License Number | ARNP395722 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: