Wayt, Marisa

Wayt, Marisa is an individual health care provider with primary practice located at 27725 Santa Margarita Pkwy Ste 101 , Mission Viejo CA 92691-6706. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Wayt, Marisa can be contacted via phone (949) 270-2100.

Contact Information

Primary practice address
27725 Santa Margarita Pkwy Ste 101 Mission Viejo CA 92691-6706
Phone: (949) 270-2100
Fax: (949) 650-4458
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 17117 California

Profile Details

NPI number 1588735088
LBN Legal business name Wayt, Marisa
Credentials MS,PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Mar 7th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1588735088 NPPES
California Other 17117 STATE LICENSE NUMBER

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