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MARYELLEN FAVATA
Registered Nurse
NPI: 1265195838IndividualAccepts Medicare
Specialties, Licenses & Credentials
Registered NursePrimary
Registered Nurse
Code: 163W00000X
RN653863(PA)
CMS Specialties
PrimaryCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Education
OTHER
Class of 2021
Contact & Hours
- Address
- 3400 SPRUCE ST
PHILADELPHIA, PA 19104 - Phone
- (215) 316-5151
Quick Facts
- NPI
- 1265195838
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 5
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