MEDICARE: MADHU FRANCY NP

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	F08180403	CA

General Provider Information

NPI Number	:	1922588540
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADHU FRANCY NP

Provider Business Mailing Address
First Line	:	6094 TERRACE LN
Second Line	:
City	:	YORBA LINDA
State	:	CA
Zip	:	92886-5462
Country	:	US
Telephone Number	:	562-299-7234
Fax Number	:

Provider Business Practice Location Address
First Line	:	1311 S ANAHEIM BLVD
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92805-6202
Country	:	US
Telephone Number	:	714-635-6400
Fax Number	:

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

Provider Enumeration Date	:	08/14/2018
Last Update Date	:	08/14/2018

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