Individual provider · NPI-1
Fransise Derezil
Nursing Home Administrator · Port St Lucie, FL
NPI number1902281884
StatusActive
Last updated in NPPESJul 21, 2015
Details
- NPI
- 1902281884
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Fransise Derezil
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 21, 2015
- Last updated
- Jul 21, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376G00000X | Nursing Home Administrator | AL12659 | FL | Yes |
| 374U00000X | Home Health Aide | AL12659 | FL |
Practice location
256 Sw Moselle AvePort St Lucie, FL 34984-5028
Phone 718-838-4313 · Fax 772-237-2234
Mailing address
256 Sw Moselle AvePort St Lucie, FL 34984-5028
Phone 718-838-4313 · Fax 772-237-2234
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.