Dr. Kisha A. Fausett, DNP, NNP-BC
Nurse Practitioner, Neonatal, Critical Care in San Diego, CA. Individual provider (NPI-1).
NPI number1306205109
StatusActive
Last updated in NPPESNov 10, 2021
Details
- NPI
- 1306205109
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kisha A. Fausett
- Credential
- DNP, NNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 22, 2016
- Certification date
- Nov 10, 2021
- Last updated
- Nov 10, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LN0005X | Nurse Practitioner, Neonatal, Critical Care | NP95005350 | CA | Yes |
Other names
- Kisha Braegger (Former Name)
Practice location
3010 Childrens WaySan Diego, CA 92123-4223
Phone 858-966-5818
Mailing address
3020 Childrens Way # Mc5008San Diego, CA 92123-4223
Phone 858-966-5818
Other practice locations
2185 Citracado Pkwy
Escondido, CA 92029-4159
Escondido, CA 92029-4159
Phone 442-282-3193
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