Healthcare Provider Details

I. General information

NPI: 1750681227
Provider Name (Legal Business Name): KAREN ANN DE LA CUESTA FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/29/2010
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1033 LOS PALOS DR STE A
SALINAS CA
93901-3916
US

IV. Provider business mailing address

100 WILSON RD STE 100
MONTEREY CA
93940-7885
US

V. Phone/Fax

Practice location:
  • Phone: 831-757-2058
  • Fax:
Mailing address:
  • Phone: 831-649-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number19695
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: