Individual provider · Type 1 NPI

Kiersten Dutra, RN

Registered Nurse · La Jolla, CA

NPI number 1013874403 Active

Practice location

9888 Genesee Ave
La Jolla, CA 92037-1205

Mailing address

4432 Kansas St Apt D
San Diego, CA 92116-4253

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X95301763 (CA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1013874403

Kiersten Dutra, RN's National Provider Identifier is 1013874403, issued on Jan 7, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in La Jolla, CA. The record was last updated on Jan 7, 2026.