Individual provider · Type 1 NPI

Marilyn Monique Douglas, FNP

Family Nurse Practitioner · New York, NY

NPI number 1700914835 Active

Practice location

560 1st Ave, Tisch 16 East
New York, NY 10016-6402

Mailing address

215 Lorraine Ave
Mount Vernon, NY 10552-3702

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XF334986 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1700914835

Marilyn Monique Douglas, FNP's National Provider Identifier is 1700914835, issued on Mar 1, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in New York, NY. The record was last updated on Aug 20, 2020.