Casanova, Marissa
Casanova, Marissa is an sole proprietor health care provider with primary practice located at 200 Medical Park Blvd , Petersburg VA 23805-9274. 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. Casanova, Marissa can be contacted via phone (804) 765-5000.Contact Information
Primary practice address
200 Medical Park Blvd
Petersburg VA 23805-9274
Phone: (804) 765-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0110009311 | Virginia |
Profile Details
| NPI number | 1487246823 |
|---|---|
| LBN Legal business name | Casanova, Marissa |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 8th, 2021 |
| Last updated | Aug 11th, 2023 - about last year |
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.
Popular Providers
-
Bryant-Albright, Michelle Lorene
801 S Adams St , Petersburg VA 23803-5149 -
Hoskins, Donald Ray
200 Medical Park Blvd , Petersburg VA 23805-9274 -
Hall, Ignatius
1090 River Rd , Petersburg VA 23834 -
Kellner, Nicole Michelle
40 Medical Park Blvd Suite A, Petersburg VA 23805-9289 -
Ferguson, Kimberly Y.
321C Poplar Dr , Petersburg VA 23805-9306 -
Baroni, Austin J
200 Medical Park Blvd , Petersburg VA 23805-9274 -
Mays, Bria
122 Crater Woods Ct , Petersburg VA 23805-9143 -
Cooper, Michelle A
801 S Adams St , Petersburg VA 23803-5149