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Physician Compare National (NPI:1801341821)

HEALTHCARE PROVIDER: BRIDGETTE DEFRANCE AGPCNP-BC

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1801341821
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 4284921669
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20160928002612
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name DEFRANCE
Individual professional last name
Provider First Name BRIDGETTE
Individual professional first name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 2016
Individual professional's medical school graduation year
Primary Specialty NURSE PRACTITIONER
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name CUSTOM HOSPICE, LLC
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 8820242993
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 2
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 888 W BIG BEAVER RD
Group Practice or individual's line 1 address
Line 2 Street Address 900 CUSTOM PALLIATIVE CARE
Group Practice or individual's line 2 address
City TROY
Group Practice or individual's city
State MI
Group Practice or individual's state
Zip Code 480844771
Group Practice or individual's zip code (9 digits when available)
Phone Number 8669529003
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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