Individual provider · Type 1 NPI

Lisette V. Manriquez, NP

Psychiatric/Mental Health Nurse Practitioner · San Ysidro, CA

NPI number 1760058911 Active

Practice location

4004 Beyer Blvd
San Ysidro, CA 92173-2007

Fax (619) 474-3722

Other practice locations

  • 3020 Childrens Way, San Diego, CA 92123-4223 · (858) 576-1700

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X95238600 (CA)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XNP95021930 (CA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1760058911

Lisette V. Manriquez, NP's National Provider Identifier is 1760058911, issued on May 28, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in San Ysidro, CA. The record was last updated on Apr 17, 2025.