MEDICARE: MRS. FRANCINE GIRARD FNP

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	363LF0000X	Family Nurse Practitioner	368345	CA

General Provider Information

NPI Number	:	1578680237
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. FRANCINE GIRARD FNP

Provider Business Mailing Address
First Line	:	35 TIMBERLINE
Second Line	:
City	:	IRVINE
State	:	CA
Zip	:	92604
Country	:	US
Telephone Number	:	949-551-9044
Fax Number	:	949-551-9044

Provider Business Practice Location Address
First Line	:	362 3RD ST
Second Line	:
City	:	LAGUNA BEACH
State	:	CA
Zip	:	92651-2307
Country	:	US
Telephone Number	:	949-464-0761
Fax Number	:

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

Provider Enumeration Date	:	03/26/2007
Last Update Date	:	07/08/2007

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