Healthcare Provider Details

I. General information

NPI: 1689043465
Provider Name (Legal Business Name): MARIE NATACHA FRANCIS NPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARIE NATACHA SANON NPC

II. Dates (important events)

Enumeration Date: 09/22/2015
Last Update Date: 09/22/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

71 HEYWOOD RD
STERLING USA
01564
UM

IV. Provider business mailing address

71 HEYWOOD RD
STERLING USA
01564
UM

V. Phone/Fax

Practice location:
  • Phone: 617-600-3195
  • Fax: 617-924-1207
Mailing address:
  • Phone: 617-600-3195
  • Fax: 617-924-1207

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number283010
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: