Individual provider · Type 1 NPI

Marie Lise Broxton

Family Nurse Practitioner · Fresh Meadows, NY

NPI number 1285595256 Active

Practice location

16040 78th Rd
Fresh Meadows, NY 11366-1969

Mailing address

636 Lenox Rd
North Baldwin, NY 11510-1019

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X358293 (NY)

Family Nurse Practitioner: Definition to come...

6 other providers at this address

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About NPI 1285595256

Marie Lise Broxton's National Provider Identifier is 1285595256, issued on Nov 19, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fresh Meadows, NY. The record was last updated on Nov 19, 2025.