Provider Demographics
NPI:1376731471
Name:NORMANDEAU, FRANCE (LPN)
Entity Type:Individual
Prefix:MRS
First Name:FRANCE
Middle Name:
Last Name:NORMANDEAU
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 RIDGEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SHIRLEY
Mailing Address - State:NY
Mailing Address - Zip Code:11967-1627
Mailing Address - Country:US
Mailing Address - Phone:631-395-1073
Mailing Address - Fax:
Practice Address - Street 1:52 RIDGEWOOD DR
Practice Address - Street 2:
Practice Address - City:SHIRLEY
Practice Address - State:NY
Practice Address - Zip Code:11967-1627
Practice Address - Country:US
Practice Address - Phone:631-395-1073
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-15
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY090573-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse