Provider Demographics
NPI:1629861356
Name:LACIVITA, FRANCES ROSE (STUDENT)
Entity type:Individual
Prefix:
First Name:FRANCES
Middle Name:ROSE
Last Name:LACIVITA
Suffix:
Gender:F
Credentials:STUDENT
Other - Prefix:
Other - First Name:FRANCES
Other - Middle Name:ROSE
Other - Last Name:DENIRO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:REGISTERED NURSE
Mailing Address - Street 1:7714 CHERRY LAUREL CT
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34241-6415
Mailing Address - Country:US
Mailing Address - Phone:941-356-2341
Mailing Address - Fax:
Practice Address - Street 1:7714 CHERRY LAUREL CT
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34241-6415
Practice Address - Country:US
Practice Address - Phone:941-356-2341
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-26
Last Update Date:2025-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program