Individual provider · Type 1 NPI
Susana Favila, FNP
Family Nurse Practitioner · El Centro, CA
NPI number
1447679790
Active
Practice location
2205 Ross Ave Ste 101
El Centro, CA 92243-3623
Mailing address
4225 Executive Sq Ste 450
La Jolla, CA 92037-8411
Other practice locations
- 667 Yucca St, Imperial, CA 92251-8925 · (760) 554-8180
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | F0414053 (CA) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1447679790
Susana Favila, FNP's National Provider Identifier is 1447679790, issued on Apr 15, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in El Centro, CA. The record was last updated on Feb 10, 2021.