Marissa Mostowtt
Nurse Practitioner, Family in Weston, FL. Individual provider (NPI-1).
NPI number1457025751
StatusActive
Last updated in NPPESAug 2, 2021
Details
- NPI
- 1457025751
- Entity type
- Individual (NPI-1)
- Name
- Marissa Mostowtt
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 2, 2021
- Certification date
- Aug 2, 2021
- Last updated
- Aug 2, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | APRN11013901 | FL | Yes |
Practice location
2950 Cleveland Clinic BlvdWeston, FL 33331-3625
Phone 915-309-1575
Mailing address
17041 Nw 17th StPembroke Pines, FL 33028-1353
Phone 915-309-1575
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All 112 Family Nurse Practitioner providers in Weston · All 2,867 providers in Weston
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