Provider Demographics
NPI:1326910779
Name:ARELLANO-CABRERA, MARISELA JEANNETTE
Entity type:Individual
Prefix:
First Name:MARISELA
Middle Name:JEANNETTE
Last Name:ARELLANO-CABRERA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:72780 COUNTRY CLUB DR STE 400
Mailing Address - Street 2:
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270-4149
Mailing Address - Country:US
Mailing Address - Phone:760-636-4567
Mailing Address - Fax:
Practice Address - Street 1:72780 COUNTRY CLUB DR STE 400
Practice Address - Street 2:
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270-4149
Practice Address - Country:US
Practice Address - Phone:760-636-4567
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-23
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95035126363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner