Provider Demographics
NPI:1558825935
Name:MWITI, FAITH (MS, MPH, RN, FNP-C)
Entity Type:Individual
Prefix:
First Name:FAITH
Middle Name:
Last Name:MWITI
Suffix:
Gender:F
Credentials:MS, MPH, RN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1171 MISSION ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-1519
Mailing Address - Country:US
Mailing Address - Phone:415-734-4200
Mailing Address - Fax:
Practice Address - Street 1:1171 MISSION ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-1519
Practice Address - Country:US
Practice Address - Phone:415-734-4200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-30
Last Update Date:2019-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95007599363L00000X
CAF05180655363LF0000X
CA95049683163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily