Audy Marlissa

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

VN230605 Issued in CA

Practice address

19431 Rue de Valore Apt 2G
Foothill Ranch, CA 92610-2308

Phone

(949) 813-9210

NPI assigned

Jul 21, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216598400000",
    "number": "1508021320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19431 RUE DE VALORE",
            "address_2": "#2G",
            "city": "FOOTHILL RANCH",
            "state": "CA",
            "postal_code": "92610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19431 RUE DE VALORE APT 2G",
            "city": "FOOTHILL RANCH",
            "state": "CA",
            "postal_code": "926102308",
            "telephone_number": "949-813-9210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARLISSA",
        "first_name": "AUDY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-21",
        "last_updated": "2008-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN230605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Elizabeth C Marin, PHARM.D
• Liss Mathew
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• Moira Claire Miller, P.T.
• Drew Warner Milner, PT DPT
• Shermineh Mirghaffari

• Licensed Vocational Nurse in Foothill Ranch, CA
• Providers in Foothill Ranch, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.