Individual provider · Type 1 NPI
Marianty Mavros Gonzalez, NP
Psychiatric/Mental Health Nurse Practitioner · Troy, MI
NPI number
1487363339
Active
Practice location
801 W Big Beaver Rd
Troy, MI 48084-4726
Mailing address
801 W Big Beaver Rd Ste 300
Troy, MI 48084-4725
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 2212111333 (MI) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | RN2364616 (MA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1487363339
Marianty Mavros Gonzalez, NP's National Provider Identifier is 1487363339, issued on Nov 18, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Troy, MI. The record was last updated on May 29, 2025.