Healthcare Provider Details

I. General information

NPI: 1376563536
Provider Name (Legal Business Name): FRANCINE ANDERSON CRNA, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1907 STATE ROUTE 35 SUITE 2
OAKHURST NJ
07755-2765
US

IV. Provider business mailing address

3613 ROUTE 33
NEPTUNE NJ
07753
US

V. Phone/Fax

Practice location:
  • Phone: 732-660-1999
  • Fax: 732-660-1998
Mailing address:
  • Phone: 732-660-1999
  • Fax: 732-660-1998

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number26NO05831500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: