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

Marisella Fustamante Carranza

Individual provider Ambulatory Women's Health Care Registered Nurse · NPI 1336090471

Marisella Fustamante Carranza is an Ambulatory Women's Health Care Registered Nurse in San Francisco, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

1001 Potrero Ave
San Francisco, CA 94110-3518
Phone: (415) 823-0176
Show map & directions

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

Specialties & licences

Ambulatory Women's Health Care Registered Nurse (primary) Taxonomy 163WW0101X · Licence 773064 (CA)

Record details

NPI number1336090471
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 5, 2026
Last updated in NPPESFebruary 5, 2026
Certification dateFebruary 5, 2026

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