Provider Demographics
NPI:1831557743
Name:JAPHET, FAITH GACHERI (RN)
Entity type:Individual
Prefix:
First Name:FAITH
Middle Name:GACHERI
Last Name:JAPHET
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:FAITH
Other - Middle Name:GACHERI
Other - Last Name:JAPHET-ESMEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:1918 FOWLER AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10462-3407
Mailing Address - Country:US
Mailing Address - Phone:646-359-3478
Mailing Address - Fax:
Practice Address - Street 1:1918 FOWLER AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10462-3407
Practice Address - Country:US
Practice Address - Phone:646-359-3478
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-05
Last Update Date:2016-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY705850-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse