Individual
LISA DARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
400 N PEPPER AVE, COLTON, CA 92324-1801
(909) 580-1000
Mailing address
2045 LAS COLINAS CIR UNIT 201, CORONA, CA 92879-7895
(951) 830-9428
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95017964
CA
363LC0200X
Critical Care Medicine Nurse Practitioner
95017964
CA
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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