Individual provider · Type 1 NPI
Marissa Hertling, CPNP
Critical Care Pediatric Nurse Practitioner · New York, NY
NPI number
1083202006
Active
Practice location
1 Gustave L Levy Pl # 1208
New York, NY 10029-6504
Mailing address
286 Arch St
Oceanside, NY 11572-4302
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Pediatric Nurse Practitioner Primary | 363LP0222X | 383212 (NY) |
Critical Care Pediatric Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1083202006
Marissa Hertling, CPNP's National Provider Identifier is 1083202006, issued on Jan 5, 2021. The primary taxonomy on file is Critical Care Pediatric Nurse Practitioner (363LP0222X), and the practice location is in New York, NY. The record was last updated on Sep 10, 2024.