Elisse Vassallo, FNP-BC
NPI #1104490796 in Marina Del Rey, California
Provider Information
- NPI Number
- 1104490796
- Entity Type
- Individual
- Name
- Elisse Vassallo, FNP-BC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP-BC
- Enumeration Date
- May 18, 2021
- Last Updated
- Sep 29, 2022
Practice Location
- Address
- 4676 ADMIRALTY WAY STE 301
- City
- Marina Del Rey
- State
- California
- ZIP Code
- 90292-6601
- Phone
- (310) 673-3945
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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