Individual provider · Type 1 NPI
Leia Maree Favano, CRNP
Family Nurse Practitioner · Philadelphia, PA
NPI number
1265985600
Active
Practice location
3401 N Broad St
Philadelphia, PA 19140-5103
Mailing address
139 Morris Ave
Woodlyn, PA 19094-1717
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | SP014746 (PA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1265985600
Leia Maree Favano, CRNP's National Provider Identifier is 1265985600, issued on Aug 2, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Philadelphia, PA. The record was last updated on Aug 2, 2016.