Deptala, Marisa

Deptala, Marisa is an sole proprietor health care provider with primary practice located at 450 4Th Ave Ste 408 , Chula Vista CA 91910-4430. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Deptala, Marisa can be contacted via phone (619) 691-1990.

Contact Information

Primary practice address
450 4Th Ave Ste 408 Chula Vista CA 91910-4430
Phone: (619) 691-1990
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95005347 California

Profile Details

NPI number 1083166615
LBN Legal business name Deptala, Marisa
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2016
Last updated Apr 13th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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