1750368650 Marietta Formoso Light, NP-C
Obstetrics & Gynecology Nurse Practitioner
Active
Basic Information
- Full Name
- Marietta Formoso Light, NP-C
- Gender
- Female
- Enumeration Date
- December 30, 2005
- Last Update
- October 8, 2020
Practice Location
- Address
- 782 MEDICAL CENTER DR E STE 212
CLOVIS, CA 936116889 - Phone
- (559) 451-3676
- Fax
- (559) 451-3680
Mailing Address
- Address
- 2625 E DIVISADERO ST
FRESNO, CA 937211431 - Phone
- (559) 443-2682
- Fax
- (559) 443-2681
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Family Nurse Practitioner Family | 363LF0000X | Nurse Practitioner | 6030 | CA | No |
| Women's Health Nurse Practitioner Women's Health | 363LW0102X | Nurse Practitioner | 6030 | CA | No |
| Obstetrics & Gynecology Nurse Practitioner Obstetrics & Gynecology | 363LX0001X | Nurse Practitioner | 6030 | CA | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 302503 | 01 | CA | REGISTERED NURSE LIC |
| 6030 | 01 | CA | NURSE PRACTITIONER FURN |
Additional Practice Locations
782 Medical Center Dr E # 212
Clovis, CA 936116889
Clovis, CA 936116889
Phone: (559) 451-3676
Fax: (559) 451-3680
Frequently Asked Questions
What is Marietta Formoso Light, NP-C's NPI number?
Marietta Formoso Light, NP-C's NPI number is 1750368650.
Which doctor has NPI number 1750368650?
The doctor with NPI number 1750368650 is Marietta Formoso Light, NP-C.
What is Marietta Formoso Light, NP-C's practice address?
Marietta Formoso Light, NP-C's practice address is 782 MEDICAL CENTER DR E STE 212, CLOVIS, CA, 936116889.
Which doctor practices at 782 MEDICAL CENTER DR E STE 212, CLOVIS, CA, 936116889?
Marietta Formoso Light, NP-C practices at 782 MEDICAL CENTER DR E STE 212, CLOVIS, CA, 936116889.
What is Marietta Formoso Light, NP-C's mailing address?
Marietta Formoso Light, NP-C's mailing address is 2625 E DIVISADERO ST, FRESNO, CA, 937211431.
What is Marietta Formoso Light, NP-C's phone number?
Marietta Formoso Light, NP-C's phone number is (559) 451-3676.
Who is (559) 451-3676?
(559) 451-3676 is the phone number for Marietta Formoso Light, NP-C.
What is Marietta Formoso Light, NP-C's specialty?
Marietta Formoso Light, NP-C's specialty is Obstetrics & Gynecology Nurse Practitioner.
What type of doctor is Marietta Formoso Light, NP-C?
Marietta Formoso Light, NP-C is a Obstetrics & Gynecology Nurse Practitioner.
Is Marietta Formoso Light, NP-C a Obstetrics & Gynecology?
Yes, Marietta Formoso Light, NP-C is a Obstetrics & Gynecology.
Is Marietta Formoso Light, NP-C still practicing?
Yes, Marietta Formoso Light, NP-C is currently practicing.
Is Marietta Formoso Light, NP-C accepting new patients?
Marietta Formoso Light, NP-C may be accepting new patients. Please call their office at (559) 451-3676 to inquire about availability.
Is NPI 1750368650 still active?
Yes, NPI 1750368650 is currently active.
Where does Marietta Formoso Light, NP-C practice?
Marietta Formoso Light, NP-C practices in CLOVIS, CA.
Is Marietta Formoso Light, NP-C a male or female doctor?
Marietta Formoso Light, NP-C is a female doctor.