Provider Demographics
NPI:1427865658
Name:KIPRONO, FAITH
Entity type:Individual
Prefix:
First Name:FAITH
Middle Name:
Last Name:KIPRONO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9580 OAK AVENUE PKWY STE 7
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-9997
Mailing Address - Country:US
Mailing Address - Phone:209-418-3076
Mailing Address - Fax:
Practice Address - Street 1:9580 OAK AVENUE PKWY STE 7
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-9997
Practice Address - Country:US
Practice Address - Phone:209-418-3076
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-11
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95370895163WN0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WN0002XNursing Service ProvidersRegistered NurseNeonatal Intensive Care