Provider Demographics
NPI:1679087548
Name:SKIFFER-BROWN, FALESHA M (LVN)
Entity type:Individual
Prefix:
First Name:FALESHA
Middle Name:M
Last Name:SKIFFER-BROWN
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2064 W AVENUE J # 333
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93536-5913
Mailing Address - Country:US
Mailing Address - Phone:661-436-9013
Mailing Address - Fax:661-513-3971
Practice Address - Street 1:21037 85TH ST
Practice Address - Street 2:
Practice Address - City:CALIFORNIA CITY
Practice Address - State:CA
Practice Address - Zip Code:93505-2020
Practice Address - Country:US
Practice Address - Phone:661-436-9013
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-29
Last Update Date:2021-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN682136164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse