Individual provider · Type 1 NPI
Shannon D. Marzouk, APRN
Nurse Practitioner · Melbourne, FL
Practice location
1350 Hickory St
Melbourne, FL 32901-3224
Fax (321) 434-1775
Mailing address
3300 S Fiske Blvd
Rockledge, FL 32955-4306
Other practice locations
- 600 E Dixie Ave, Leesburg, FL 34748-5925 · (352) 323-5762
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | APRN11021923 (FL) |
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 1326755646
Shannon D. Marzouk, APRN's National Provider Identifier is 1326755646, issued on Nov 7, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Melbourne, FL. The record was last updated on Sep 12, 2025.