Provider Demographics
NPI:1609138478
Name:FAINE, NORA MARCELLA (MD)
Entity Type:Individual
Prefix:DR
First Name:NORA
Middle Name:MARCELLA
Last Name:FAINE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:NORA
Other - Middle Name:MARCELLA
Other - Last Name:SYKES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:12979 SOLERA WAY
Mailing Address - Street 2:
Mailing Address - City:POWAY
Mailing Address - State:CA
Mailing Address - Zip Code:92064-1132
Mailing Address - Country:US
Mailing Address - Phone:619-992-5262
Mailing Address - Fax:
Practice Address - Street 1:12979 SOLERA WAY
Practice Address - Street 2:
Practice Address - City:POWAY
Practice Address - State:CA
Practice Address - Zip Code:92064-1132
Practice Address - Country:US
Practice Address - Phone:619-992-5262
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-07
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG664732083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine