Healthcare Provider Details

I. General information

NPI: 1528302916
Provider Name (Legal Business Name): CHRISTINE FRANZESE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/26/2012
Last Update Date: 11/10/2021
Certification Date: 11/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 HERLONG AVE S STE 106
ROCK HILL SC
29732-8350
US

IV. Provider business mailing address

410 HERLONG AVE S STE 106
ROCK HILL SC
29732-8350
US

V. Phone/Fax

Practice location:
  • Phone: 803-329-3899
  • Fax: 803-327-3438
Mailing address:
  • Phone: 803-329-3899
  • Fax: 803-327-3438

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License Number478846
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License Number25361
License Number StateSC
# 3
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number309769
License Number StateNY
# 4
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number25361
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: