Individual
DR. KISHA A. FAUSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, NNP-BC
Contact information
Practice address
3010 CHILDRENS WAY, SAN DIEGO, CA 92123-4223
(858) 966-5818
Mailing address
3020 CHILDRENS WAY # MC5008, SAN DIEGO, CA 92123-4223
(858) 966-5818
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
NP95005350
CA
Other
Enumeration date
02/22/2016
Last updated
11/10/2021
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