Individual provider · Type 1 NPI
Lisa S. Derita, FNP
Primary Care Nurse Practitioner · Brentwood, CA
NPI number
1033803408
Active
Practice location
1280 Central Blvd Ste J5
Brentwood, CA 94513-2362
Mailing address
4549 Lariat Ln
Oakley, CA 94561-1718
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 95025065 (CA) |
Primary Care Nurse Practitioner: Definition to come...
Other primary care nurse practitioner providers in Brentwood
About NPI 1033803408
Lisa S. Derita, FNP's National Provider Identifier is 1033803408, issued on Jun 7, 2023. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Brentwood, CA. The record was last updated on Jun 7, 2023.