Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marisa Tanner

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1801585690

Marisa Tanner is a Student in an Organized Health Care Education/Training Program in San Leandro, California. Works from 2 locations. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

2208 San Leandro Blvd
San Leandro, CA 94577-5957
Phone: (510) 483-6715
Fax: (510) 483-6719
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7901 Stoneridge Dr Ste 150, Pleasanton, CA 94588-3502 — (925) 417-8733

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1801585690
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 5, 2023
Last updated in NPPESFebruary 19, 2026
Certification dateFebruary 19, 2026

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