Individual provider · Type 1 NPI

Michelle Irene Kerouac, RN

Family Nurse Practitioner · San Diego, CA

NPI number 1801868500 Active

Practice location

34800 Bob Wilson Dr
San Diego, CA 92134-1098

Fax (619) 532-8598

Mailing address

8810 Rio San Diego Dr
San Diego, CA 92108-1698

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X763720 (CA)
Family Nurse Practitioner Primary 363LF0000X95001678 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1801868500

Michelle Irene Kerouac, RN's National Provider Identifier is 1801868500, issued on Feb 6, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in San Diego, CA. The record was last updated on Jul 13, 2026.