Healthcare Provider Details

I. General information

NPI: 1699498121
Provider Name (Legal Business Name): CHRISTINA FAULDING FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/20/2022
Last Update Date: 09/20/2022
Certification Date: 09/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

518 GARDEN ST
SANTA BARBARA CA
93101-1606
US

IV. Provider business mailing address

1312 BATH ST
SANTA BARBARA CA
93101-3624
US

V. Phone/Fax

Practice location:
  • Phone: 888-898-3308
  • Fax:
Mailing address:
  • Phone: 805-455-9610
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95022707
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: