Provider Demographics
NPI:1114459708
Name:FRANCIS, STEPHANIE MIRIAM (RN)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:MIRIAM
Last Name:FRANCIS
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 1:83 MARTIN ST
Mailing Address - Street 2:
Mailing Address - City:REHOBOTH
Mailing Address - State:MA
Mailing Address - Zip Code:02769-2114
Mailing Address - Country:US
Mailing Address - Phone:508-813-8798
Mailing Address - Fax:
Practice Address - Street 1:83 MARTIN ST
Practice Address - Street 2:
Practice Address - City:REHOBOTH
Practice Address - State:MA
Practice Address - Zip Code:02769-2114
Practice Address - Country:US
Practice Address - Phone:508-813-8798
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-01
Last Update Date:2017-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN234788163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse