Individual provider · Type 1 NPI

Marisa Anne Letheby, MSN, FNP-C, FNP-BC

Nurse Practitioner · Staten Island, NY

NPI number 1891398392 Active

Practice location

1161 Victory Blvd
Staten Island, NY 10301-3621

Mailing address

PO Box 25213
Belfast, ME 04915-2003

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X346781 (NY)

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 1891398392

Marisa Anne Letheby, MSN, FNP-C, FNP-BC's National Provider Identifier is 1891398392, issued on Nov 17, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Staten Island, NY. The record was last updated on Oct 16, 2024.