=====================================================
General NPI Number Information
=====================================================
NPI Number | 1073851374
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MICHELE L FRANCIS MS, RD, CDE, LDN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/21/2013
-----------------------------------------------------
Last Update Date | 01/21/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 701 E MARSHALL ST
-----------------------------------------------------
City | WEST CHESTER
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19380-4412
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 610-738-2839
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 994 FALLOWFIELD RD
-----------------------------------------------------
City | ATGLEN
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19310-1602
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 610-593-7958
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 133V00000X
-----------------------------------------------------
Taxonomy Name | Registered Dietitian
-----------------------------------------------------
License Number | DN000368
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------