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:
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Health care specialties

SpecialtyCodeLicense #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 9 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 1447304001 NPPES
California Other 570209 REGISTERED NURSE LICENSE
California Other 2005009644-22 REGISTERED NURSE LICENSE

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