MEDICARE: FRANCESCA SERE CNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP2300X	Primary Care Nurse Practitioner	AG05220036	MN

General Provider Information

NPI Number	:	1114663135
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANCESCA SERE CNP

Provider Business Mailing Address
First Line	:	1101 BLACK OAK DR
Second Line	:
City	:	NEW BRIGHTON
State	:	MN
Zip	:	55112-8400
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1101 BLACK OAK DR
Second Line	:
City	:	NEW BRIGHTON
State	:	MN
Zip	:	55112-8400
Country	:	US
Telephone Number	:	651-633-1686
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2022
Last Update Date	:	05/16/2022

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