Provider Demographics
NPI:1194506717
Name:SAINT FLEUR, FRANTZ (CNP)
Entity type:Individual
Prefix:
First Name:FRANTZ
Middle Name:
Last Name:SAINT FLEUR
Suffix:
Gender:M
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1020 PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02301-3063
Mailing Address - Country:US
Mailing Address - Phone:508-586-7706
Mailing Address - Fax:508-580-4444
Practice Address - Street 1:1020 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301-3063
Practice Address - Country:US
Practice Address - Phone:508-586-7706
Practice Address - Fax:508-580-4444
Is Sole Proprietor?:No
Enumeration Date:2023-10-10
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MACNP2290873363LF0000X
FL11026013363LF0000X
MARN2290873363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily