Individual provider · Type 1 NPI
Tammy Lauren Favaro, AGACNP
Acute Care Nurse Practitioner · Holtsville, NY
NPI number
1073115929
Active
Practice location
16 Storm Dr
Holtsville, NY 11742-1905
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 431903 (NY) |
Acute Care Nurse Practitioner: Definition to come...
About NPI 1073115929
Tammy Lauren Favaro, AGACNP's National Provider Identifier is 1073115929, issued on Nov 14, 2020. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Holtsville, NY. The record was last updated on Jun 12, 2023.