Mary Favata, NURSE PRACTITIONER

NPI #1265684815 in Rochester, Michigan

Provider Information

NPI Number
1265684815
Entity Type
Individual
Name
Mary Favata, NURSE PRACTITIONER
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Acute Care
Credential
NURSE PRACTITIONER
Enumeration Date
Oct 15, 2008
Last Updated
Oct 15, 2008

Practice Location

Address
1101 W UNIVERSITY DR
ZIP Code
48307-1863
Phone
(248) 652-5813

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Acute CareAcute Care

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