Provider Demographics
NPI:1396364543
Name:DIAS, FRANCYSMAR (RN, BSN)
Entity type:Individual
Prefix:
First Name:FRANCYSMAR
Middle Name:
Last Name:DIAS
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:MRS
Other - First Name:FRANCYSMAR
Other - Middle Name:
Other - Last Name:DIAS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN, BSN
Mailing Address - Street 1:59 E MILITIA HEIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:NEEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02492-1341
Mailing Address - Country:US
Mailing Address - Phone:508-371-5648
Mailing Address - Fax:
Practice Address - Street 1:59 E MILITIA HEIGHTS DR
Practice Address - Street 2:
Practice Address - City:NEEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02492-1341
Practice Address - Country:US
Practice Address - Phone:508-371-5648
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-08
Last Update Date:2020-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2308595163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA7556073279OtherDDS