MARISA TANNER
NPI 1801585690
Student in an Organized Health Care Education/Training Program in San Leandro, CA

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since May 05, 2023

2208 SAN LEANDRO BLVD, SAN LEANDRO, CA 94577(510) 483-6715(510) 483-6719 Get Directions Write a Review

NPPES record last updated: February 19, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Marisa Tanner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARISA TANNER (NPI 1801585690) is an individual student in an organized health care education/training program in San Leandro, California and active in the NPI registry since May 2023. She maintains a secondary practice location in Pleasanton.

NPPES Registry Identity

NPI1801585690

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMARISA TANNER

Location Address2208 SAN LEANDRO BLVDSan Leandro, CA 94577-5957

Mailing Address2208 San Leandro BlvdSan Leandro, CA 94577-5957 · (510) 483-6715 · Fax (510) 483-6719

Phone(510) 483-6715

Fax(510) 483-6719

Sole ProprietorNo

Enumeration DateMay 5, 2023

Last NPPES UpdateFebruary 19, 2026

NPPES CertifiedFebruary 19, 2026

✔ NPI 1801585690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2208 SAN LEANDRO BLVD, San Leandro, CA 94577

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