Provider Demographics
NPI:1225404874
Name:VERNETTI, LINDSAY REDMAN (NP)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:REDMAN
Last Name:VERNETTI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:
Other - Last Name:REDMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, PHN
Mailing Address - Street 1:649 W MISSION AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92025-1677
Mailing Address - Country:US
Mailing Address - Phone:760-740-3061
Mailing Address - Fax:760-740-3010
Practice Address - Street 1:3851 ROSECRANS ST STE S
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92110-3115
Practice Address - Country:US
Practice Address - Phone:619-692-8507
Practice Address - Fax:619-692-8543
Is Sole Proprietor?:No
Enumeration Date:2015-08-18
Last Update Date:2020-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA848448163W00000X
CA95005022363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse