Lisa Michelle Andrade, RN
Individual provider Active NPI Diabetes Educator Registered Nurse · French Camp, CA
NPI 1942921028 · NPPES record last updated Sep 7, 2022
Key facts
- NPI
- 1942921028
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diabetes Educator Registered Nurse 163WD0400X
- License
- 501791 (CA)
- Practice address
- 500 W Hospital Rd
French Camp, CA 95231-9693 - Phone
- (209) 953-5424
- NPI assigned
- Sep 7, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 501791 | CA | MD | Diabetes Educator Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | 501791 | CA | Yes |
Addresses
Primary practice location
500 W Hospital Rd
French Camp, CA 95231-9693
Mailing address
10100 Trinity Pkwy Ste 100
Stockton, CA 95219-7239
Phone (209) 953-5424
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 94-3040535 | Other | CA | SAN JOAQUIN HEALTH CLINICS |
Other providers in French Camp, CA
- Mikayla Ann Alves
- Farida Alvi
- Kavya Sai Satya Amaravadi
- Saina Aminmozaffari
- Mitchell Paul Anderson
- Sandra Andrade
- Anesthesia Services of San Joaquin, P.C.
- Julienne Angeles
- Anka Behavioral Health Incorporated
- Apexx Physicians Medical
All providers in French Camp, CA · Diabetes Educator Registered Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.