Individual provider · Type 1 NPI

Luisa Calacsan

Psychiatric/Mental Health Registered Nurse · Fairfield, CA

NPI number 1053502500 Active

Practice location

2101 Courage Dr
Fairfield, CA 94533-6717

Call (707) 784-2140 Map

Fax (707) 784-2164

Mailing address

3134 Olympic Rd
Fairfield, CA 94534-8326

Specialties and licenses

Taxonomy	Code	License
Psychiatric/Mental Health Registered Nurse Primary	163WP0808X	344491 (CA)

Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1053502500

Luisa Calacsan's National Provider Identifier is 1053502500, issued on Aug 8, 2007. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Fairfield, CA. The record was last updated on Oct 15, 2007.