person
Mrs. Susana Favila, FNP
Family Nurse Practitioner in El Centro, California
NPI 1447679790

Susana Favila is a Family Nurse Practitioner based in La Jolla, CA and is specialized in Family. Susana Favila practices in El Centro, CA and has the professional credentials of FNP. The NPI Number for Susana Favila is 1447679790 and holds a License No. F0414053 (California).

The current practice location address for Susana Favila is 2205 Ross Ave Ste 101, El Centro, CA and can be reached out via phone at 760-353-0404. You can also correspond with Susana Favila through the mailing address at 4225 EXECUTIVE SQ STE 450, LA JOLLA, CA - 92037-8411 (mailing address contact number: 858-810-8000).

Location: 2205 Ross Ave Ste 101, El Centro, CA, 92037-8411
person
Provider Profile Details
NPI Number
1447679790
Provider Name
Susana Favila
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
2205 Ross Ave Ste 101, El Centro, CA, 92037-8411
Phone Number
760-353-0404
Fax Number
Provider Enumeration Date
04/15/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
F0414053 01 CA NP CERTIFICATION
institution
Provider Business Practice Location Address Details
Address
2205 Ross Ave Ste 101
City
State
Zip
92243-3623
Phone Number
760-353-0404
Fax Number
person
Provider Business Mailing Address Details
Address
2205 Ross Ave Ste 101
City
State
Zip
92243-3623
Phone Number
760-353-0404
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
F0414053 (California)
Definition
Definition to come...
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