Provider Demographics
NPI:1417457458
Name:ARELLANO, LINDSAY JIRON (FNP)
Entity Type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:JIRON
Last Name:ARELLANO
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:
Other - Last Name:JIRON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6280 JACKSON DR STE 8
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92119-3436
Mailing Address - Country:US
Mailing Address - Phone:619-464-1608
Mailing Address - Fax:
Practice Address - Street 1:6280 JACKSON DR STE 8
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92119-3436
Practice Address - Country:US
Practice Address - Phone:619-464-1607
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-16
Last Update Date:2018-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95007513363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily