DR. ALLYSON KRISTEN FAVUZZA DNP CRNP FNP-C NPI 1740662683

NPI Information

NPI: 1740662683
Provider Name: DR. ALLYSON KRISTEN FAVUZZA, DNP, CRNP, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
921 DRINKER TPKE STE 13
COVINGTON TOWNSHIP, PA
ZIP 18444
Phone: (570) 795-9795
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DR. Allyson Kristen Favuzza, DNP, CRNP, FNP-C is a family nurse practitioner in Covington Township, PA with 9 years of experience. DR. Allyson Kristen Favuzza, DNP, CRNP, FNP-C NPI is 1740662683. 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:

921 DRINKER TPKE STE 13
COVINGTON TOWNSHIP, PA
ZIP 18444-948
Phone: (570) 795-9795
Fax: (570) 276-0195

The NPI 1740662683 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 6/27/2015 and was last updated on 6/14/2021.

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	363LF0000X	Nurse Practitioner	Family	SP015039	PENNSYLVANIA	Yes
2	363LF0000X	Nurse Practitioner	Family	339857	NEW YORK	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1030864040001	MEDICAID	PENNSYLVANIA
2	00355931	MEDICAID	NEW YORK

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: 5/5/2024

NPI Synchronization or Removal

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