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
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 95238600 (CA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | NP95021930 (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.