Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA S DERITA, FNP
ActiveLISA S DERITA, FNP is a Primary Care Nurse Practitioner healthcare provider located in BRENTWOOD, California. NPI 1033803408 is currently active in the NPPES registry. Verify at CMS.
Primary Care Nurse Practitioner · BRENTWOOD, CA
Registration Details
- NPI Number
- 1033803408
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 7, 2023 (3.1473690584689 yrs)
- Last Updated
- Jun 7, 2023
- License
-
95025065 (CA)
Practice Information
- Address
-
1280 CENTRAL BLVD STE J5BRENTWOOD, CA, 945132362Browse CA providers · Browse ZIP 94513
- Phone
- 9252502908
- Primary Specialty
-
Primary Care Nurse Practitioner
363LP2300X
Other Primary Care Nurse Practitioner Providers in BRENTWOOD, CA
| Name | Credential | NPI |
|---|---|---|
| MARIA PERLA LEGASPI BUENAFLOR-SALES | AGPCNP | 1629648746 |
| GERJEL A BAUTISTA | FNP-C | 1992573984 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.