Individual provider · Type 1 NPI

Marietta Gingosa, BSN RN MSN

Assisted Living Facility · Surprise, AZ

NPI number 1174248363 Active

Practice location

15956 W Cortez St
Surprise, AZ 85379-1162

Call (623) 440-6659 Map

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XALM-011151 (AZ)

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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About NPI 1174248363

Marietta Gingosa, BSN RN MSN's National Provider Identifier is 1174248363, issued on Oct 10, 2022. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Surprise, AZ. The record was last updated on Oct 10, 2022.