Healthcare Provider Details

I. General information

NPI: 1306155346
Provider Name (Legal Business Name): WINNEFRED MAY FRANCIS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2010
Last Update Date: 09/24/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

285 SCHERMERHORN ST
BROOKLYN NY
11217-1024
US

IV. Provider business mailing address

559 E 34TH ST
BROOKLYN NY
11203-5501
US

V. Phone/Fax

Practice location:
  • Phone: 718-310-5808
  • Fax: 718-858-2967
Mailing address:
  • Phone: 718-282-3908
  • Fax: 718-282-3908

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number22527330
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License Number22527330
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: