Favila, Susana

Favila, Susana is an individual health care provider with primary practice located at 2205 Ross Ave Ste 101 , El Centro CA 92243-3623. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Favila, Susana can be contacted via phone (760) 353-0404.

Contact Information

Primary practice address
2205 Ross Ave Ste 101 El Centro CA 92243-3623
Phone: (760) 353-0404
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F0414053 California

Profile Details

NPI number 1447679790
LBN Legal business name Favila, Susana
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2014
Last updated Feb 10th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447679790 NPPES
California Other F0414053 NP CERTIFICATION

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