Provider Demographics
NPI:1396024311
Name:PEREZ, FRANCISCO A (RN)
Entity Type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:A
Last Name:PEREZ
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6315 CANSLER SUBDIVISION RD
Mailing Address - Street 2:
Mailing Address - City:HOPKINSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42240-8873
Mailing Address - Country:US
Mailing Address - Phone:401-489-1680
Mailing Address - Fax:
Practice Address - Street 1:6315 CANSLER SUBDIVISION RD
Practice Address - Street 2:
Practice Address - City:HOPKINSVILLE
Practice Address - State:KY
Practice Address - Zip Code:42240-8873
Practice Address - Country:US
Practice Address - Phone:401-489-1680
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-08
Last Update Date:2011-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR34171163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical