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NPI Code Detail

MEDICARE: REGINA A FRANCO ANP, MSN

MEDICARE: REGINA A FRANCO ANP, MSN
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
1363L00000XNurse Practitioner48SC
2363LA2200XAdult Health Nurse Practitioner48SC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00729163OTHERSCRAIL ROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1780680116
Entity Type Code : Individual
Provider Name (Legal Business Name) : REGINA A FRANCO ANP, MSN
Provider Business Mailing Address
First Line : 300 E MCBEE AVE FL 4
Second Line :
City : GREENVILLE
State : SC
Zip : 29601-2842
Country : US
Telephone Number : 864-522-8603
Fax Number :
Provider Business Practice Location Address
First Line : 900 W FARIS RD
Second Line :
City : GREENVILLE
State : SC
Zip : 29605-4255
Country : US
Telephone Number : 864-455-7070
Fax Number : 864-454-4669
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2005
Last Update Date : 06/15/2021

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