Favorite, Sandra

Favorite, Sandra is an individual health care provider with primary practice located at 6770 Mayfield Rd Suite 415, Mayfield Hts OH 44124-2299. 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. Favorite, Sandra can be contacted via phone (440) 461-2550.

Contact Information

Primary practice address
6770 Mayfield Rd Suite 415 Mayfield Hts OH 44124-2299
Phone: (440) 461-2550
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP08359 Ohio

Profile Details

NPI number 1194828079
LBN Legal business name Favorite, Sandra
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2006
Last updated Jun 27th, 2014 - about 10 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 1194828079 NPPES
Ohio MEDICAID 2618920

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