Favela, Corrine A
Favela, Corrine A is an sole proprietor health care provider with primary practice located at 11525 Brookshire Ave Ste 301 Attn Maggie Noles Ms 6160, Downey CA 90241-4982. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Favela, Corrine A can be contacted via phone (562) 862-3684.Contact Information
Primary practice address
11525 Brookshire Ave Ste 301 Attn Maggie Noles Ms 6160
Downey CA 90241-4982
Phone: (562) 862-3684
Fax: (562) 862-7145
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | NP15844 | California |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | RN570209 | California |
Profile Details
NPI number | 1447304001 |
---|---|
LBN Legal business name | Favela, Corrine A |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 22nd, 2007 |
Last updated | Oct 11th, 2016 - about 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1447304001 | NPPES |
California | Other | 570209 | REGISTERED NURSE LICENSE |
California | Other | 2005009644-22 | REGISTERED NURSE LICENSE |
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