Provider Demographics
NPI:1366104044
Name:POCASANGRE, MARLEE (PA-C)
Entity type:Individual
Prefix:
First Name:MARLEE
Middle Name:
Last Name:POCASANGRE
Suffix:
Gender:F
Credentials:PA-C
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3183 S RAGEN DR
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85365-5117
Mailing Address - Country:US
Mailing Address - Phone:760-832-2240
Mailing Address - Fax:
Practice Address - Street 1:675 S AVENUE B
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-2749
Practice Address - Country:US
Practice Address - Phone:928-539-3140
Practice Address - Fax:928-782-5296
Is Sole Proprietor?:No
Enumeration Date:2021-10-09
Last Update Date:2025-01-03
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant