Search › Virginia › 363A00000X
Marissa Casanova, PA-C
NPI 1487246823 · on the registry since 2021 · sole proprietor
Practice
- Address
- 200 Medical Park Blvd
Petersburg, VA 23805 - Phone
- (804) 765-5000
- Organisation at this address
- Ahp Holdco Llc
Med-Trans Corporation
J. Houseworth, Dpm Llc
Clinical Colleagues Inc
Virginia Emergency Group LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 79
Additional practice sites
- 1650 Overbrook Rd Apt D3, Richmond, VA
- 2151 Old Brick Rd, Glen Allen, VA
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-08-11
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 Virginia