Provider Demographics
NPI:1861161820
Name:CIRILO, FRANCES (LPN)
Entity type:Individual
Prefix:
First Name:FRANCES
Middle Name:
Last Name:CIRILO
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:FRANCES
Other - Middle Name:
Other - Last Name:CIRILO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPN
Mailing Address - Street 1:26112 WINTON ST
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIR SHORES
Mailing Address - State:MI
Mailing Address - Zip Code:48081-3877
Mailing Address - Country:US
Mailing Address - Phone:417-365-1375
Mailing Address - Fax:
Practice Address - Street 1:22448 BAYVIEW DR
Practice Address - Street 2:
Practice Address - City:SAINT CLAIR SHORES
Practice Address - State:MI
Practice Address - Zip Code:48081-2408
Practice Address - Country:US
Practice Address - Phone:586-943-9838
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-12
Last Update Date:2021-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4703125505164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse