Individual
LISA GUERTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4510 EXECUTIVE DR, SAN DIEGO, CA 92121-3021
(800) 926-8273
Mailing address
FILE 57326, LOS ANGELES, CA 90074-7326
(800) 926-8273
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP60911366
WA
363LA2100X
Acute Care Nurse Practitioner
133038954-4405
UT
363LA2100X
Acute Care Nurse Practitioner
Primary
19948
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184933871
—
WA
Enumeration date
09/29/2010
Last updated
12/10/2025
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