Provider Demographics
NPI:1063474690
Name:GLYNN, FRANCESCA LEVINE (MD)
Entity Type:Individual
Prefix:
First Name:FRANCESCA
Middle Name:LEVINE
Last Name:GLYNN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:FRANCESCA
Other - Middle Name:DIANA
Other - Last Name:LEVINE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:13700 ST FRANCIS BLVD
Mailing Address - Street 2:SUITE 510
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23114-3222
Mailing Address - Country:US
Mailing Address - Phone:804-423-8470
Mailing Address - Fax:804-423-8471
Practice Address - Street 1:13700 ST FRANCIS BLVD
Practice Address - Street 2:SUITE 510
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23114-3222
Practice Address - Country:US
Practice Address - Phone:804-423-8470
Practice Address - Fax:804-423-8471
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101051455207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA122919OtherSOUTHERN HEALTH SERVICES
VAC06695OtherGROUP PTAN
VA43927OtherSENTARA
VA4594110OtherAETNA LIFE
VA4594110OtherAETNA HMO
VA228214OtherANTHEM BCBS OF VA
VA292495OtherMAMSI
VA0661192OtherCIGNA
VA110217728OtherRAILROAD MEDICARE
VA010017149Medicaid
VA228214OtherANTHEM BCBS OF VA
110007923Medicare ID - Type Unspecified