MRS. JUSTINE ELISE DELLA FAVE MSN CNM WHNP-BC NPI 1487108957

NPI Information

NPI: 1487108957
Provider Name: MRS. JUSTINE ELISE DELLA FAVE, MSN, CNM, WHNP-BC
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

PECOS Registration: Yes

Address:
222 W 39TH AVE
SAN MATEO, CA
ZIP 94403
Phone: (973) 655-4361
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MRS. Justine Elise Della Fave, MSN, CNM, WHNP-BC is a women's health nurse practitioner in San Mateo, CA with 8 years of experience. MRS. Justine Elise Della Fave, MSN, CNM, WHNP-BC NPI is 1487108957. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

222 W 39TH AVE
SAN MATEO, CA
ZIP 94403-364
Phone: (973) 655-4361

The NPI 1487108957 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/12/2016 and was last updated on 2/1/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LW0102X	Nurse Practitioner	Women's Health	26NJ00722400	NEW JERSEY	No
2	363LW0102X	Nurse Practitioner	Women's Health	95006045	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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