Individual provider · Type 1 NPI
Michelle Darling Maurina, NP
Gerontology Nurse Practitioner · Shirley, NY
NPI number
1174172803
Active
Practice location
800 Montauk Hwy Ste 8
Shirley, NY 11967-2128
Fax (631) 772-2495
Mailing address
800 Montauk Hwy Ste 18
Shirley, NY 11967-2128
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 309273 (NY) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 309273 (NY) |
Gerontology Nurse Practitioner: Definition to come...
About NPI 1174172803
Michelle Darling Maurina, NP's National Provider Identifier is 1174172803, issued on Sep 5, 2019. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Shirley, NY. The record was last updated on Jan 23, 2024.