Individual provider · Type 1 NPI
Marina Wallis
Psychiatric/Mental Health Registered Nurse · San Diego, CA
NPI number
1699167973
Active
Practice location
3853 Rosecrans St
San Diego, CA 92110-3115
Mailing address
13355 N Hwy 183 Apt 1430
Austin, TX 78750-7141
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | 95046963 (CA) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1699167973
Marina Wallis's National Provider Identifier is 1699167973, issued on Feb 24, 2015. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in San Diego, CA. The record was last updated on Mar 25, 2021.