Provider Demographics
NPI:1710311824
Name:FRANCIS, MARIE MICHELLE (RN- PCHP)
Entity Type:Individual
Prefix:MISS
First Name:MARIE
Middle Name:MICHELLE
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:RN- PCHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5691 BOREAL WAY SW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30331-9219
Mailing Address - Country:US
Mailing Address - Phone:561-900-8274
Mailing Address - Fax:404-346-1237
Practice Address - Street 1:5691 BOREAL WAY SW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30331-9219
Practice Address - Country:US
Practice Address - Phone:561-900-8274
Practice Address - Fax:404-346-1237
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-26
Last Update Date:2013-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN194771163W00000X, 171M00000X
GAPCH0081993747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant