Provider Demographics
NPI:1457093395
Name:FRANCO, SARA FRANCES (LPN)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:FRANCES
Last Name:FRANCO
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MRS
Other - First Name:SARA
Other - Middle Name:FRANCES
Other - Last Name:FRANCO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:10237 W 21ST ST N APT C35
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67205-1825
Mailing Address - Country:US
Mailing Address - Phone:620-214-0649
Mailing Address - Fax:
Practice Address - Street 1:607 COURT PL
Practice Address - Street 2:
Practice Address - City:LAKIN
Practice Address - State:KS
Practice Address - Zip Code:67860-9704
Practice Address - Country:US
Practice Address - Phone:620-355-7836
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-11
Last Update Date:2022-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS51666164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse