Provider Demographics
NPI:1922871045
Name:FRANCIS, MARY MICHELLE (APRN FNP-BC)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:MICHELLE
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:APRN FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 552143
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33055-0143
Mailing Address - Country:US
Mailing Address - Phone:954-483-3951
Mailing Address - Fax:
Practice Address - Street 1:11575 CITY HALL PROMENADE UNIT 412
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33025-7595
Practice Address - Country:US
Practice Address - Phone:954-483-3951
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-31
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11029509363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily