Healthcare Provider Details

I. General information

NPI: 1255268298
Provider Name (Legal Business Name): KERI FAUST RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1421 NAGLEY ST
SPRINGFIELD OH
45505-3937
US

IV. Provider business mailing address

1421 NAGLEY ST
SPRINGFIELD OH
45505-3937
US

V. Phone/Fax

Practice location:
  • Phone: 937-505-4223
  • Fax: 937-505-2906
Mailing address:
  • Phone: 937-505-4223
  • Fax: 937-505-2906

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License NumberRN.318791
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: