Individual provider · Type 1 NPI

Marisa Tanner

Student in an Organized Health Care Education/Training Program · San Leandro, CA

NPI number 1801585690 Active

Practice location

2208 San Leandro Blvd
San Leandro, CA 94577-5957

Call (510) 483-6715 Map

Fax (510) 483-6719

Other practice locations

  • 7901 Stoneridge Dr Ste 150, Pleasanton, CA 94588-3502 · (925) 417-8733

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.

50 other providers at this address

Other student in an organized health care education/training program providers in San Leandro

See all in San Leandro →

About NPI 1801585690

Marisa Tanner's National Provider Identifier is 1801585690, issued on May 5, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Leandro, CA. The record was last updated on Feb 19, 2026.