Provider Demographics
NPI:1821549023
Name:PICKERING, FAITH (RN)
Entity Type:Individual
Prefix:
First Name:FAITH
Middle Name:
Last Name:PICKERING
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:360 S BALDERSTON DR
Mailing Address - Street 2:
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-2004
Mailing Address - Country:US
Mailing Address - Phone:610-363-8767
Mailing Address - Fax:
Practice Address - Street 1:360 S BALDERSTON DR
Practice Address - Street 2:
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-2004
Practice Address - Country:US
Practice Address - Phone:610-363-8767
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-23
Last Update Date:2016-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN235119L163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse