DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARY JANE FAVOT, NP

Active

MARY JANE FAVOT, NP is a Gerontological Nurse Practitioner healthcare provider located in DEARBORN, Michigan. NPI 1043246564 is currently active in the NPPES registry. Verify at CMS.

Gerontological Nurse Practitioner · DEARBORN, MI

Registration Details

NPI Number
1043246564
Provider Type
Individual
Gender
Female
NPI Issued
Jun 25, 2006 (20.107149060586 yrs)
Last Updated
Oct 6, 2009
License
109477 (MI)

Practice Information

Address
15400 MICHIGAN AVE
SUITE ONE
DEARBORN, MI, 481263491
Browse MI providers · Browse ZIP 48126
Phone
3135843359
Fax
3135841729
Primary Specialty
Gerontological Nurse Practitioner
363LG0600X

Other Gerontological Nurse Practitioner Providers in DEARBORN, MI

Name Credential NPI
JESSICA STARR GREVENSTUK NP 1588098685
DR. ASHLEY NICOLE BELOUS DNP, RN, AGACNP-BC 1689159493
TALAL SABRAH NP 1124668264
SUAD F SARHAN 1760128623
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.