Organization
MICKAELA MARICHAL DNP NURSE PRACTITIONER IN FAMILY HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICKAELA MARICHAL DNP, FNP-BC, DCNP (DERMATOLOGY NURSE PRACTITIONER)
(718) 803-3000
Entity
Organization
Contact information
Practice address
3742 77TH ST, JACKSON HEIGHTS, NY 11372-6651
(718) 803-3000
Mailing address
3742 77TH ST, JACKSON HEIGHTS, NY 11372-6651
(718) 803-3000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/14/2026
Last updated
08/14/2026
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