1720060742 NPI number — MRS. RACHEL JEAN FRANCOIS MSN ARNP CPNP

Table of content: ELINA BRICK (NPI 1801348701)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1720060742 NPI number — MRS. RACHEL JEAN FRANCOIS MSN ARNP CPNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FRANCOIS
Provider First Name:
RACHEL
Provider Middle Name:
JEAN
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MSN ARNP CPNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1720060742
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/17/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
701 10TH ST SE
Provider Second Line Business Mailing Address:
4TH FLOOR
Provider Business Mailing Address City Name:
CEDAR RAPIDS
Provider Business Mailing Address State Name:
IA
Provider Business Mailing Address Postal Code:
52403-1251
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
319-861-7900
Provider Business Mailing Address Fax Number:
319-861-7950

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
701 10TH ST SE
Provider Second Line Business Practice Location Address:
4TH FLOOR
Provider Business Practice Location Address City Name:
CEDAR RAPIDS
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
52403-1251
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
319-861-7900
Provider Business Practice Location Address Fax Number:
319-861-7950
Provider Enumeration Date:
11/16/2005

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LP0200X , with the licence number:  C105689 , registered in the state of IA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1720060742 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".