Healthcare Provider Details

I. General information

NPI: 1487025375
Provider Name (Legal Business Name): JOAN FRAINO NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2015
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1560 N CRESTMONT DR STE A
MERIDIAN ID
83642-2178
US

IV. Provider business mailing address

849 E STANLEY BLVD # 302
LIVERMORE CA
94550-4008
US

V. Phone/Fax

Practice location:
  • Phone: 208-650-4888
  • Fax: 208-650-4892
Mailing address:
  • Phone: 510-387-0476
  • Fax: 208-650-4892

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number9271088
License Number StateID
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95003296
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95003296
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: