Healthcare Provider Details

I. General information

NPI: 1386056919
Provider Name (Legal Business Name): LINDA FRANCIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/02/2014
Last Update Date: 06/02/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39 DUNCAN ST
WARSAW NY
14569-1017
US

IV. Provider business mailing address

3459 WETHERSFIELD RD
GAINESVILLE NY
14066-9756
US

V. Phone/Fax

Practice location:
  • Phone: 585-786-0190
  • Fax: 585-786-0196
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number513689
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: