Individual provider · Type 1 NPI

Elyssa Rose Marmolejo, MD

Student in an Organized Health Care Education/Training Program · Portsmouth, VA

NPI number 1124819917 Active

Practice location

620 John Paul Jones Cir
Portsmouth, VA 23708-2111

Call (757) 953-2518 Map

Mailing address

930 Seabreeze Ct
Chesapeake, VA 23320-9441

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1124819917

Elyssa Rose Marmolejo, MD's National Provider Identifier is 1124819917, issued on May 13, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Portsmouth, VA. The record was last updated on May 13, 2025.