Fazzino, Dolores Linda

Fazzino, Dolores Linda is an individual health care provider with primary practice located at 1622 Pleasant Pl , Encinitas CA 92024-1975. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fazzino, Dolores Linda can be contacted via phone (760) 579-2440.

Contact Information

Primary practice address
1622 Pleasant Pl Encinitas CA 92024-1975
Phone: (760) 579-2440
Fax: (760) 632-8802
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP11272 California

Profile Details

NPI number 1366449563
LBN Legal business name Fazzino, Dolores Linda
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Jun 21st, 2024 - about 2 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 1366449563 NPPES
California Other 500022566 RAILROAD PROVIDER NUMBER
California MEDICAID NP0112720 RAILROAD PROVIDER NUMBER

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