Marche Kristen Casillas, NP
Nurse Practitioner, Pediatrics in Long Beach, CA. Individual provider (NPI-1).
NPI number1689172520
StatusActive
Last updated in NPPESJan 25, 2018
Details
- NPI
- 1689172520
- Entity type
- Individual (NPI-1)
- Name
- Marche Kristen Casillas
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 25, 2018
- Last updated
- Jan 25, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 95008435 | CA | Yes |
Practice location
780 Atlantic AveLong Beach, CA 90813-4565
Phone 562-624-1111
Mailing address
780 Atlantic AveLong Beach, CA 90813-4565
Phone 562-624-1111
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