Individual
ASHLEY LYNN FAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
312 PROFESSIONAL VIEW DR BLDG 3002, FREEHOLD, NJ 07728-7904
(732) 431-1616
Mailing address
724 FAIRVIEW LN, FORKED RIVER, NJ 08731-4965
(609) 661-0440
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ01412900
NJ
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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