Provider Demographics
NPI:1164972188
Name:NOZIL, MARIE ROSEMONDE (MSN, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:MARIE
Middle Name:ROSEMONDE
Last Name:NOZIL
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:MARIE
Other - Middle Name:ROSEMONDE
Other - Last Name:NOZIL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSN, FNP-C
Mailing Address - Street 1:1333 ARBOR BLUFF CT
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30045-9775
Mailing Address - Country:US
Mailing Address - Phone:678-334-7218
Mailing Address - Fax:
Practice Address - Street 1:1005 BOULDER DR
Practice Address - Street 2:
Practice Address - City:GRAY
Practice Address - State:GA
Practice Address - Zip Code:31032-6141
Practice Address - Country:US
Practice Address - Phone:678-334-7218
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-13
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN167209363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily