Healthcare Provider Details

I. General information

NPI: 1407016702
Provider Name (Legal Business Name): ADRIENNE FRANSAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2008
Last Update Date: 10/02/2026
Certification Date: 09/29/2026
Deactivation Date: 12/04/2014
Reactivation Date: 11/04/2025

III. Provider practice location address

7259 S. BINGHAM BLVD.
MIDVALE UT
84047
US

IV. Provider business mailing address

7259 S BINGHAM JUNCTION BLVD
MIDVALE UT
84047-4860
US

V. Phone/Fax

Practice location:
  • Phone: 800-453-3030
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11040359
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: