MARISA LICATA, NP

Nurse Practitioner - Family

Active Individual
NPI: 1790392603

Practice Address

21734 MALDEN ST
Farmington Hills, MI 48336

Phone: (248) 229-0183

Specialties

Specialty Code Primary License
Nurse Practitioner - Family 363LF0000X Yes 4704303831 (MI)

Frequently Asked Questions

NPI 1790392603 is the National Provider Identifier for MARISA LICATA, NP, a Nurse Practitioner - Family provider located in Farmington Hills, MI. This NPI was enumerated on September 24, 2020.
MARISA LICATA, NP practices at 21734 MALDEN ST, Farmington Hills, MI 48336.

Quick Facts

NPI
1790392603
Type
Individual
Enumerated
Sep 24, 2020
Last Updated
Apr 7, 2025

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