Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Favata, NURSEPRACTITIONER

Individual provider Acute Care Nurse Practitioner · NPI 1265684815

Mary Favata, NURSEPRACTITIONER is a Nurse Practitioner in Rochester, Michigan. Qualified in 2008, 18 years ago. Practices with Henry Ford Health Rochester Hospital, a 103-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
18
Licensed in
MI
In the registry since
2008

Practice location Address checks out

1101 W University Dr
Rochester, MI 48307-1863
Phone: (248) 652-5813
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 4704126972 (MI)

Record details

NPI number1265684815
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedOctober 15, 2008
Last updated in NPPESOctober 15, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Henry Ford Health Rochester Hospital — 103 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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