Provider Demographics
NPI:1518251354
Name:FRANCIS, NORA LAUREL (RPH, MBA)
Entity Type:Individual
Prefix:MRS
First Name:NORA
Middle Name:LAUREL
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:RPH, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3255 OWEN RD
Mailing Address - Street 2:
Mailing Address - City:FENTON
Mailing Address - State:MI
Mailing Address - Zip Code:48430-1755
Mailing Address - Country:US
Mailing Address - Phone:810-714-2406
Mailing Address - Fax:
Practice Address - Street 1:3255 OWEN RD
Practice Address - Street 2:
Practice Address - City:FENTON
Practice Address - State:MI
Practice Address - Zip Code:48430-1755
Practice Address - Country:US
Practice Address - Phone:810-714-2406
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-08
Last Update Date:2011-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302029875183500000X
TX24793183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist