Individual provider · Type 1 NPI

Mariel Frances Owen-Simon, CPNP

Pediatric Nurse Practitioner · Bronx, NY

NPI number 1508533126 Active

Practice location

1065 Southern Blvd
Bronx, NY 10459-2417

Other practice locations

  • 628 Tinton Ave, Bronx, NY 10455-3218 · (917) 737-8813

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XF383231 (NY)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1508533126

Mariel Frances Owen-Simon, CPNP's National Provider Identifier is 1508533126, issued on Aug 23, 2021. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Bronx, NY. The record was last updated on Sep 17, 2021.