Individual provider · Type 1 NPI

Marily Modesto, APRN, FNP-C

Nurse Practitioner · Midland, TX

NPI number 1225991789 Active

Practice location

407 Kent St
Midland, TX 79701-5858

Mailing address

1407 Alamosa St
Odessa, TX 79763-2413

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X1218347 (TX)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1225991789

Marily Modesto, APRN, FNP-C's National Provider Identifier is 1225991789, issued on Dec 3, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Midland, TX. The record was last updated on Dec 3, 2025.