MARIE LISE BROXTON NPI 1285595256

NPI Information

  • NPI: 1285595256
  • Provider Name: MARIE LISE BROXTON
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 16040 78TH RD
    FRESH MEADOWS, NY
    ZIP 11366
  • Phone: (347) 869-3793

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NPI Details

Marie Lise Broxton is a family nurse practitioner in Fresh Meadows, NY. Marie Lise Broxton NPI is 1285595256. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

16040 78TH RD
FRESH MEADOWS, NY
ZIP 11366-969
Phone: (347) 869-3793

The enumeration date for this NPI number is 11/19/2025 and was last updated on 11/19/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily358293NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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