Individual
MARC MCALLISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP (AGPCNP)
Contact information
Practice address
8855 KEREMEOS WAY, SAN DIEGO, CA 92126-1419
(858) 243-8686
Mailing address
8855 KEREMEOS WAY, SAN DIEGO, CA 92126-1419
(858) 243-8686
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
NP95021135
CA
363LG0600X
Gerontology Nurse Practitioner
NP95021135
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
NP95021135
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NPF95021135
NURSE PRACTITIONER FURNISHING NUMBER
CA
Enumeration date
08/01/2022
Last updated
08/01/2022
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