Healthcare Provider Details

I. General information

NPI: 1144248030
Provider Name (Legal Business Name): FRANCINA PERRY FNP- BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: FRANCINA NIEMI APRN

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 02/13/2025
Certification Date: 02/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 BELMONT ST
WORCESTER MA
01605-2903
US

IV. Provider business mailing address

PO BOX 415348
BOSTON MA
02241-5348
US

V. Phone/Fax

Practice location:
  • Phone: 508-334-5224
  • Fax:
Mailing address:
  • Phone: 800-225-8885
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number217255
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberNP217255
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: