Provider Demographics
NPI:1649578378
Name:MARASIGAN, CZARINA CRIS ALCAIRO (RN, BSN, PHN)
Entity Type:Individual
Prefix:
First Name:CZARINA CRIS
Middle Name:ALCAIRO
Last Name:MARASIGAN
Suffix:
Gender:F
Credentials:RN, BSN, PHN
Other - Prefix:
Other - First Name:CZARINA
Other - Middle Name:
Other - Last Name:MARASIGAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN, BSN, PHN
Mailing Address - Street 1:330 CAMPUS DR
Mailing Address - Street 2:
Mailing Address - City:HANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:93230-4375
Mailing Address - Country:US
Mailing Address - Phone:559-852-2751
Mailing Address - Fax:559-584-5672
Practice Address - Street 1:330 CAMPUS DR
Practice Address - Street 2:
Practice Address - City:HANFORD
Practice Address - State:CA
Practice Address - Zip Code:93230-4375
Practice Address - Country:US
Practice Address - Phone:559-582-3211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-03
Last Update Date:2013-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA780352163W00000X
CA78685163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health