Provider Demographics
NPI:1083228340
Name:BEDIAKO, FRANCISCA A (RN)
Entity Type:Individual
Prefix:MISS
First Name:FRANCISCA
Middle Name:A
Last Name:BEDIAKO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58B APTHORP ST
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01606-1104
Mailing Address - Country:US
Mailing Address - Phone:508-683-9648
Mailing Address - Fax:
Practice Address - Street 1:COMMONWEALTH CARE ALLIANCE
Practice Address - Street 2:100 NORTH PARKWAY-SUITE # 202
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01605
Practice Address - Country:US
Practice Address - Phone:508-683-9648
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-03
Last Update Date:2020-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2284825163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse