Individual
DR. ALLYSON KRISTEN FAVUZZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CRNP, FNP-C
Contact information
Practice address
921 DRINKER TPKE STE 13, COVINGTON TOWNSHIP, PA 18444-7948
(570) 795-9795
(570) 276-0195
Mailing address
921 DRINKER TPKE STE 13, COVINGTON TOWNSHIP, PA 18444-7948
(570) 795-9795
(570) 276-0195
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
339857
NY
363LF0000X
Family Nurse Practitioner
Primary
SP015039
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00355931
—
NY
05
—
1030864040001
—
PA
Enumeration date
06/27/2015
Last updated
06/14/2021
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