person
Elisse Vassallo, FNP-BC
Family Nurse Practitioner in Marina Del Rey, California
NPI 1104490796

Elisse Vassallo is a Family Nurse Practitioner based in Redondo Beach, CA and is specialized in Family. Elisse Vassallo practices in Marina Del Rey, CA and has the professional credentials of FNP-BC. The NPI Number for Elisse Vassallo is 1104490796 and holds a License No. 95017219 (California).

The current practice location address for Elisse Vassallo is 4676 Admiralty Way Ste 301, Marina Del Rey, CA and can be reached out via phone at 310-673-3945. You can also correspond with Elisse Vassallo through the mailing address at 228 VIA LOS MIRADORES, REDONDO BEACH, CA - 90277-6760 (mailing address contact number: 908-892-0781).

Location: 4676 Admiralty Way Ste 301, Marina Del Rey, CA, 90277-6760
person
Provider Profile Details
NPI Number
1104490796
Provider Name
Elisse Vassallo
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
4676 Admiralty Way Ste 301, Marina Del Rey, CA, 90277-6760
Phone Number
310-673-3945
Fax Number
Provider Enumeration Date
05/18/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4676 Admiralty Way Ste 301
City
State
Zip
90292-6601
Phone Number
310-673-3945
Fax Number
person
Provider Business Mailing Address Details
Address
4676 Admiralty Way Ste 301
City
State
Zip
90292-6601
Phone Number
310-673-3945
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
95017219 (California)
Definition
Definition to come...
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