MEDICARE: CHERISE MARIE FRANCIS N.P.

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	11500	CA

General Provider Information

NPI Number	:	1932274057
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHERISE MARIE FRANCIS N.P.

Provider Business Mailing Address
First Line	:	34281 DOHENY PARK RD
Second Line	:	SUITE 7196
City	:	CAPISTRANO BEACH
State	:	CA
Zip	:	92624-8000
Country	:	US
Telephone Number	:	949-412-9874
Fax Number	:	949-369-5775

Provider Business Practice Location Address
First Line	:	34456 CALLE PORTOLA
Second Line	:
City	:	CAPISTRANO BEACH
State	:	CA
Zip	:	92624-1054
Country	:	US
Telephone Number	:	949-412-9874
Fax Number	:	949-369-5775

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

Provider Enumeration Date	:	11/22/2006
Last Update Date	:	01/22/2015

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