Individual provider · Type 1 NPI
Marissa Gonzalez
Family Nurse Practitioner · Lido Beach, NY
NPI number
1780461285
Active
Practice location
253 Fairway Rd
Lido Beach, NY 11561-4802
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 351300 (NY) |
Family Nurse Practitioner: Definition to come...
Other family nurse practitioner providers in Lido Beach
About NPI 1780461285
Marissa Gonzalez's National Provider Identifier is 1780461285, issued on Sep 11, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lido Beach, NY. The record was last updated on Apr 28, 2024.