MEDICARE: MISS JENNIFER MARIE FARALA ABRENI RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	191496-2	MN
2	163W00000X	Registered Nurse	763415	CA

General Provider Information

NPI Number	:	1528342508
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS JENNIFER MARIE FARALA ABRENI RN

Provider Business Mailing Address
First Line	:	8906 SWITZER DR
Second Line	:
City	:	SPRING VALLEY
State	:	CA
Zip	:	91977-2205
Country	:	US
Telephone Number	:	619-739-0263
Fax Number	:

Provider Business Practice Location Address
First Line	:	8906 SWITZER DR
Second Line	:
City	:	SPRING VALLEY
State	:	CA
Zip	:	91977-2205
Country	:	US
Telephone Number	:	619-739-0263
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/07/2011
Last Update Date	:	06/01/2026

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