Provider Demographics
NPI:1801597976
Name:CALFEE, MARISA ESTRADA (FNP-BC)
Entity type:Individual
Prefix:DR
First Name:MARISA
Middle Name:ESTRADA
Last Name:CALFEE
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:MARISA
Other - Middle Name:ROMERO
Other - Last Name:ESTRADA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:883 HIGHLAND AVE NW
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TN
Mailing Address - Zip Code:37311-1837
Mailing Address - Country:US
Mailing Address - Phone:423-650-8437
Mailing Address - Fax:
Practice Address - Street 1:1200 MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:DALTON
Practice Address - State:GA
Practice Address - Zip Code:30720-2529
Practice Address - Country:US
Practice Address - Phone:706-272-6158
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-15
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN237734390200000X
GAGAA-NP001411363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program