Healthcare Provider Details

I. General information

NPI: 1528342508
Provider Name (Legal Business Name): JENNIFER MARIE FARALA ABRENI RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/07/2011
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8906 SWITZER DR
SPRING VALLEY CA
91977-2205
US

IV. Provider business mailing address

8906 SWITZER DR
SPRING VALLEY CA
91977-2205
US

V. Phone/Fax

Practice location:
  • Phone: 619-739-0263
  • Fax:
Mailing address:
  • Phone: 619-739-0263
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number191496-2
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number763415
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: