Maria Charisma Liceralde, APRN, PMHNP, BC

NPI 1134307507 · on the registry since 2008 · sole proprietor

Practice

Address: 80 Great Oaks Blvd
San Jose, CA 95119
Phone: (408) 363-3000
Fax: (408) 363-3046
Organisation at this address: Va
Va Palo Alto Healthcare System
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 43

Registry record

Primary taxonomy: 163WP0809X
163WP0809X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2008-02-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California