Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marie Lise Broxton

Individual provider Family Nurse Practitioner · NPI 1285595256

Marie Lise Broxton is a Family Nurse Practitioner in Fresh Meadows, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2025

Practice location Address checks out

16040 78th Rd
Fresh Meadows, NY 11366-1969
Phone: (347) 869-3793
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 358293 (NY)

Record details

NPI number1285595256
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 19, 2025
Last updated in NPPESNovember 19, 2025
Certification dateNovember 19, 2025

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