Individual provider · Type 1 NPI

Kaitlyn Elizabeth Fakouri, FNP-C

Nurse Practitioner · Sacramento, CA

NPI number 1821754979 Active

Practice location

3441 Marysville Blvd
Sacramento, CA 95838-4512

Mailing address

PO Box 761
Rancho Cordova, CA 95741-0761

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X95019130 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1821754979

Kaitlyn Elizabeth Fakouri, FNP-C's National Provider Identifier is 1821754979, issued on Nov 12, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Sacramento, CA. The record was last updated on Mar 19, 2026.