Marissa Caldarella, PA-C
Physician Assistant in Carlsbad, CA. Individual provider (NPI-1).
NPI number1619349826
StatusActive
Last updated in NPPESOct 13, 2023
Details
- NPI
- 1619349826
- Entity type
- Individual (NPI-1)
- Name
- Marissa Caldarella
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 27, 2015
- Certification date
- Oct 13, 2023
- Last updated
- Oct 13, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA61211939 | WA | Yes |
| 363AS0400X | Physician Assistant, Surgical | – | – | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | OR | |
| 133V00000X | Dietitian, Registered | 86007582 | MN |
Practice location
2659 State St # 100-1012Carlsbad, CA 92008-1627
Phone 833-378-2162
Mailing address
703 Broadway St Ste 700Vancouver, WA 98660-3307
Phone 360-869-4200
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