Individual provider · Type 1 NPI
Lisa M. Banuelos, NP
Primary Care Nurse Practitioner · Vallejo, CA
NPI number
1144013616
Active
Practice location
100 Hospital Dr Fl 2
Vallejo, CA 94589-2580
Mailing address
1318 Thrasher Way
Suisun City, CA 94585-3019
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 95290679 (CA) |
Primary Care Nurse Practitioner: Definition to come...
Another provider at this address
Other primary care nurse practitioner providers in Vallejo
About NPI 1144013616
Lisa M. Banuelos, NP's National Provider Identifier is 1144013616, issued on May 27, 2025. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Vallejo, CA. The record was last updated on May 27, 2025.