MARY JANE FAVOT, NP
Nurse Practitioner - Gerontology
Active
Individual
NPI: 1043246564
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Gerontology | 363LG0600X | Yes | 109477 (MI) |
Frequently Asked Questions
NPI 1043246564 is the National Provider Identifier for MARY JANE FAVOT, NP, a Nurse Practitioner - Gerontology provider located in Dearborn, MI. This NPI was enumerated on June 25, 2006.
MARY JANE FAVOT, NP practices at 15400 MICHIGAN AVE, SUITE ONE, Dearborn, MI 48126.
Quick Facts
- NPI
- 1043246564
- Type
- Individual
- Enumerated
- Jun 25, 2006
- Last Updated
- Oct 6, 2009
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