Provider Demographics
NPI:1093250862
Name:CLAUSE, FAITH (FNP)
Entity type:Individual
Prefix:
First Name:FAITH
Middle Name:
Last Name:CLAUSE
Suffix:
Gender:
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2420 SONOMA ST STE B
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-3033
Mailing Address - Country:US
Mailing Address - Phone:530-999-2533
Mailing Address - Fax:530-999-2532
Practice Address - Street 1:2420 SONOMA ST
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-3033
Practice Address - Country:US
Practice Address - Phone:530-999-2533
Practice Address - Fax:530-999-2532
Is Sole Proprietor?:No
Enumeration Date:2017-01-03
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN22131363LF0000X
CA95019354363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily