Provider Demographics
NPI:1457627952
Name:DE ISAAC, FRANCISCA (R N)
Entity Type:Individual
Prefix:MS
First Name:FRANCISCA
Middle Name:
Last Name:DE ISAAC
Suffix:
Gender:F
Credentials:R N
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14726 SPRINGFIELD LN
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11413-4149
Mailing Address - Country:US
Mailing Address - Phone:718-996-9531
Mailing Address - Fax:718-996-5095
Practice Address - Street 1:2929 W 30TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11224-1701
Practice Address - Country:US
Practice Address - Phone:718-996-9531
Practice Address - Fax:718-996-5095
Is Sole Proprietor?:No
Enumeration Date:2012-03-29
Last Update Date:2012-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY498627163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse