Basic Information
Provider Information
NPI: 1972925238
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FRANCOIS
FirstName: BRIDGETTE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: FNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2525 KANSAS AVE
Address2: UNIT C
City: SANTA MONICA
State: CA
PostalCode: 904042732
CountryCode: US
TelephoneNumber: 3238548659
FaxNumber: 3109453356
Practice Location
Address1: 2525 KANSAS AVE
Address2: UNIT C
City: SANTA MONICA
State: CA
PostalCode: 904042732
CountryCode: US
TelephoneNumber: 3238548659
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/06/2014
LastUpdateDate: 08/02/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/02/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X95017800CAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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