Healthcare Provider Details

I. General information

NPI: 1720491319
Provider Name (Legal Business Name): FRANCESCA ASHLEY BLANCHARD ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/11/2014
Last Update Date: 02/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 SW 62ND AVE
MIAMI FL
33155-3009
US

IV. Provider business mailing address

3100 SW 62ND AVE
MIAMI FL
33155-3009
US

V. Phone/Fax

Practice location:
  • Phone: 305-662-2639
  • Fax: 305-663-0530
Mailing address:
  • Phone: 305-662-2639
  • Fax: 305-663-0530

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberARNP9295997
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: