Provider Demographics
NPI:1356417158
Name:FRANCE, PATRICIA IRENE (CRNA)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:IRENE
Last Name:FRANCE
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10154 HIGHWAY 282
Mailing Address - Street 2:
Mailing Address - City:MOUNTAINBURG
Mailing Address - State:AR
Mailing Address - Zip Code:72946-3850
Mailing Address - Country:US
Mailing Address - Phone:479-369-2769
Mailing Address - Fax:479-369-2769
Practice Address - Street 1:200 NORTH 3RD STREET
Practice Address - Street 2:
Practice Address - City:DARDANELLE
Practice Address - State:AR
Practice Address - Zip Code:72834
Practice Address - Country:US
Practice Address - Phone:479-229-4677
Practice Address - Fax:479-229-6161
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARCOO399367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered