Individual
CORRINE A FAVELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
11525 BROOKSHIRE AVE STE 301, ATTN MAGGIE NOLES MS 6160, DOWNEY, CA 90241-4982
(562) 862-3684
(562) 862-7145
Mailing address
9209 COLIMA RD, STE 1000, WHITTIER, CA 90605-1813
(562) 696-1104
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP15844
CA
363L00000X
Nurse Practitioner
RN570209
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2005009644-22
BOARD CERTIFICATION
CA
01
—
570209
REGISTERED NURSE LICENSE
CA
Enumeration date
01/22/2007
Last updated
10/11/2016
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