Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARIETTA FORMOSO LIGHT, NP-C
ActiveMARIETTA FORMOSO LIGHT, NP-C is a Obstetrics & Gynecology Nurse Practitioner healthcare provider located in CLOVIS, California. NPI 1750368650 is currently active in the NPPES registry. Verify at CMS.
Obstetrics & Gynecology Nurse Practitioner · CLOVIS, CA
Registration Details
- NPI Number
- 1750368650
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 30, 2005 (20.620675069728 yrs)
- Last Updated
- Oct 8, 2020
- Licenses
-
6030 (CA)6030 (CA)6030 (CA)
Practice Information
- Address
-
782 MEDICAL CENTER DR E STE 212CLOVIS, CA, 936116889Browse CA providers · Browse ZIP 93611
- Phone
- 5594513676
- Fax
- 5594513680
- Primary Specialty
-
Obstetrics & Gynecology Nurse Practitioner
363LX0001X
- Additional Specialty
- Women's Health Nurse Practitioner
- Additional Specialty
- Obstetrics & Gynecology Nurse Practitioner
Other Obstetrics & Gynecology Nurse Practitioner Providers in CLOVIS, CA
| Name | Credential | NPI |
|---|---|---|
| ANNE LOUISE SCHATTKE | N.P. | 1235295825 |
| DANI ELLEN | NP | 1356680623 |
| NAZELI NATALIE SHISHOYAN | NP | 1033812284 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.