Individual
MS. DOLORES LINDA FAZZINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1622 PLEASANT PL, ENCINITAS, CA 92024-1975
(760) 579-2440
(760) 632-8802
Mailing address
1622 PLEASANT PL, ENCINITAS, CA 92024-1975
(760) 579-2440
(760) 632-8802
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP11272
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500022566
RAILROAD PROVIDER NUMBER
CA
05
—
NP0112720
—
CA
Enumeration date
07/01/2005
Last updated
06/21/2024
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