Individual provider · Type 1 NPI

Marisella Fustamante Carranza

Ambulatory Women's Health Care Registered Nurse · San Francisco, CA

NPI number 1336090471 Active

Practice location

1001 Potrero Ave
San Francisco, CA 94110-3518

Mailing address

1 Harrington Rd
Moraga, CA 94556-2814

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Women's Health Care Registered Nurse Primary 163WW0101X773064 (CA)

Ambulatory Women's Health Care Registered Nurse: Definition to come...

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About NPI 1336090471

Marisella Fustamante Carranza's National Provider Identifier is 1336090471, issued on Feb 5, 2026. The primary taxonomy on file is Ambulatory Women's Health Care Registered Nurse (163WW0101X), and the practice location is in San Francisco, CA. The record was last updated on Feb 5, 2026.