Healthcare Provider Details

I. General information

NPI: 1831366715
Provider Name (Legal Business Name): LINDA FRANCISCO RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/10/2008
Last Update Date: 05/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12011 S HINMAN RD
EAGLE MI
48822-9753
US

IV. Provider business mailing address

12011 S HINMAN RD
EAGLE MI
48822-9753
US

V. Phone/Fax

Practice location:
  • Phone: 517-391-4058
  • Fax:
Mailing address:
  • Phone: 517-391-4058
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number4704245149
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: