Provider Demographics
NPI:1790954865
Name:MARR, NAOMI ALESSA (WHNP)
Entity Type:Individual
Prefix:MS
First Name:NAOMI
Middle Name:ALESSA
Last Name:MARR
Suffix:
Gender:F
Credentials:WHNP
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Mailing Address - Street 1:2050 S BLOSSER RD
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93458-7310
Mailing Address - Country:US
Mailing Address - Phone:805-361-8028
Mailing Address - Fax:805-361-8097
Practice Address - Street 1:2801 SANTA MARIA WAY
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93455-2118
Practice Address - Country:US
Practice Address - Phone:805-934-5400
Practice Address - Fax:805-938-9207
Is Sole Proprietor?:No
Enumeration Date:2008-02-22
Last Update Date:2016-07-27
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Provider Licenses
StateLicense IDTaxonomies
CANP 17941363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health