Provider Demographics
NPI:1750043535
Name:MOBILIO, FRANCES VINCENT
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:VINCENT
Last Name:MOBILIO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 BOSTON AVE
Mailing Address - Street 2:
Mailing Address - City:STRATFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06614-5256
Mailing Address - Country:US
Mailing Address - Phone:203-375-7242
Mailing Address - Fax:
Practice Address - Street 1:305 BOSTON AVE
Practice Address - Street 2:
Practice Address - City:STRATFORD
Practice Address - State:CT
Practice Address - Zip Code:06614-5256
Practice Address - Country:US
Practice Address - Phone:203-375-7242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-09
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT10033363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily