Malissa Marie Aponte, RN, FNP-C
Nurse Practitioner, Family in Stony Brook, NY. Individual provider (NPI-1).
NPI number1750942884
StatusActive
Last updated in NPPESDec 3, 2019
Details
- NPI
- 1750942884
- Entity type
- Individual (NPI-1)
- Name
- Malissa Marie Aponte
- Credential
- RN, FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 28, 2019
- Last updated
- Dec 3, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | F344592-01 | NY | Yes |
| 163W00000X | Registered Nurse | 695923-1 | NY |
Practice location
101 Nicolls RdStony Brook, NY 11794
Phone 631-444-1651
Mailing address
101 Nicolls RdStony Brook, NY 11794-0001
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