Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 0024175613 | VA |
N | 363LG0600X | Nurse Practitioner - Gerontology | 0024175613 | VA |
NPI | 1053776781 |
---|---|
Provider Name | Mrs. Fransua Bobe Vicente |
First Address | Charlottesville, VA 22906-9007 |
Second Address | Charlottesville, VA 22903-2981 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/12/2015 |
Last Update Date | 11/01/2022 |