Provider Demographics
NPI:1689043465
Name:FRANCIS, MARIE NATACHA (NPC)
Entity Type:Individual
Prefix:
First Name:MARIE
Middle Name:NATACHA
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:NPC
Other - Prefix:
Other - First Name:MARIE
Other - Middle Name:NATACHA
Other - Last Name:SANON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NPC
Mailing Address - Street 1:71 HEYWOOD RD
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:USA
Mailing Address - Zip Code:01564
Mailing Address - Country:UM
Mailing Address - Phone:617-600-3195
Mailing Address - Fax:617-924-1207
Practice Address - Street 1:71 HEYWOOD RD
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:USA
Practice Address - Zip Code:01564
Practice Address - Country:UM
Practice Address - Phone:617-600-3195
Practice Address - Fax:617-924-1207
Is Sole Proprietor?:No
Enumeration Date:2015-09-22
Last Update Date:2015-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA283010363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA444456666Medicare UPIN