Provider Demographics
NPI:1851588875
Name:TUBI, FAITH (REGISTERED NURSE)
Entity type:Individual
Prefix:
First Name:FAITH
Middle Name:
Last Name:TUBI
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:FAITH
Other - Middle Name:
Other - Last Name:TUBI.
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FAITH TUBI
Mailing Address - Street 1:VA LONG BEACH HEALTHCARE SYSTEM
Mailing Address - Street 2:5901 EAST 7TH STREET, L216
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90822
Mailing Address - Country:US
Mailing Address - Phone:562-826-8000
Mailing Address - Fax:562-346-3601
Practice Address - Street 1:VA LONG BEACH HEALTHCARE SYSTEM
Practice Address - Street 2:5901 EAST 7TH STREET, L216
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90822
Practice Address - Country:US
Practice Address - Phone:562-826-8000
Practice Address - Fax:562-346-3601
Is Sole Proprietor?:No
Enumeration Date:2007-10-03
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95206021163WP0809X
CA2024057417363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult