Individual
MS. MARISSA M CALZADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1460 G ST, SPRINGFIELD, OR 97477-4112
(541) 726-4400
Mailing address
1460 G ST, SPRINGFIELD, OR 97477-4112
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
202204366NP-PP
OR
363LG0600X
Gerontology Nurse Practitioner
APRN11018322
FL
Other
Enumeration date
05/02/2022
Last updated
03/02/2023
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