Provider Demographics
NPI:1932274057
Name:FRANCIS, CHERISE MARIE (NP)
Entity Type:Individual
Prefix:
First Name:CHERISE
Middle Name:MARIE
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:CHERISE
Other - Middle Name:MARIE
Other - Last Name:WINDLE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:34281 DOHENY PARK RD
Mailing Address - Street 2:SUITE 7196
Mailing Address - City:CAPISTRANO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92624-8000
Mailing Address - Country:US
Mailing Address - Phone:949-412-9874
Mailing Address - Fax:949-369-5775
Practice Address - Street 1:34456 CALLE PORTOLA
Practice Address - Street 2:
Practice Address - City:CAPISTRANO BEACH
Practice Address - State:CA
Practice Address - Zip Code:92624-1054
Practice Address - Country:US
Practice Address - Phone:949-412-9874
Practice Address - Fax:949-369-5775
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-22
Last Update Date:2015-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11500363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily