Individual
MARGARET FAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1301 N 2ND ST, BOONEVILLE, MS 38829-1028
(662) 728-2071
(662) 728-2077
Mailing address
450 E PRESIDENT AVE, TUPELO, MS 38801-5599
(662) 377-4685
(662) 377-2755
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R885521
MS
Other
Enumeration date
01/16/2014
Last updated
01/16/2014
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