Provider Demographics
NPI:1255853248
Name:SHANKS, FRANCINE T (RN)
Entity Type:Individual
Prefix:MRS
First Name:FRANCINE
Middle Name:T
Last Name:SHANKS
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 1:335-B EAST AVENUE K6
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93535-4645
Mailing Address - Country:US
Mailing Address - Phone:661-471-4810
Mailing Address - Fax:661-524-2373
Practice Address - Street 1:335 E AVENUE K6 STE B
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93535-4645
Practice Address - Country:US
Practice Address - Phone:661-471-4810
Practice Address - Fax:661-524-2373
Is Sole Proprietor?:No
Enumeration Date:2017-07-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA458598163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse