Provider Demographics
NPI:1255098828
Name:FRANCISCO, ALEXANDRA (RN)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:
Last Name:FRANCISCO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5563 CENTERPOINTE BLVD APT 1
Mailing Address - Street 2:
Mailing Address - City:CANANDAIGUA
Mailing Address - State:NY
Mailing Address - Zip Code:14424-7833
Mailing Address - Country:US
Mailing Address - Phone:585-698-9324
Mailing Address - Fax:
Practice Address - Street 1:5563 CENTERPOINTE BLVD
Practice Address - Street 2:
Practice Address - City:CANANDAIGUA
Practice Address - State:NY
Practice Address - Zip Code:14424-7832
Practice Address - Country:US
Practice Address - Phone:585-698-9324
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-18
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY739527163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse