Audy Marlissa, is a
Licensed Vocational Nurse based in Foothill Ranch, California. Audy Marlissa is licensed to practice in California (license number VN230605) and his current practice location is
19431 Rue De Valore Apt 2g, Foothill Ranch, California. He can be reached at his office (for appointments etc.) via phone at
(949) 813-9210.
NPI number for Audy Marlissa is 1508021320 and his current mailing address is 19431 Rue De Valore, #2g, Foothill Ranch, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1508021320.
Provider's Profile
| Full Name | Audy Marlissa |
|---|
| Gender | Male |
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| Speciality | Licensed Vocational Nurse |
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| Location | 19431 Rue De Valore Apt 2g, Foothill Ranch, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1508021320
- Provider Enumeration Date: 07/21/2008
- Last Update Date: 07/21/2008
Medical Identifiers
Medical identifiers for Audy Marlissa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508021320 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164X00000X | Licensed Vocational Nurse | VN230605 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Audy Marlissa is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Audy Marlissa,
19431 Rue De Valore, #2g,
Foothill Ranch, CA 92610
Ph: () - | Audy Marlissa,
19431 Rue De Valore Apt 2g,
Foothill Ranch, CA 92610-2308
Ph: (949) 813-9210 |
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