Basic Information
| Provider Information | |||||||||
| NPI: | 1407058753 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FRANCO | ||||||||
| FirstName: | EDVIRA | ||||||||
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| Credential: | CRNA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 19631 NE 12TH CT | ||||||||
| Address2: | |||||||||
| City: | N MIAMI BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331793526 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3038851363 | ||||||||
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| Practice Location | |||||||||
| Address1: | 4502 MEDICAL DR | ||||||||
| Address2: | |||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782294402 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2103584000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/31/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | RN9229246 | FL | N | Nursing Service Providers | Registered Nurse | 163W00000X | 741809 | TX | Y | Nursing Service Providers | Registered Nurse |
No ID Information.