Individual
MRS. HOLLY JEAN FAVERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
14555 LEVAN RD, SUITE E-412, LIVONIA, MI 48154-5083
(734) 655-2700
(734) 655-4254
Mailing address
14555 LEVAN RD, SUITE E-412, LIVONIA, MI 48154-5083
(734) 655-2700
(734) 655-4254
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704166625
MI
Other
Enumeration date
04/12/2010
Last updated
04/12/2010
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