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

Marietta Gingosa, BSNRNMSN

Individual provider Assisted Living Facility · NPI 1174248363

Marietta Gingosa, BSNRNMSN is an Assisted Living Facility in Surprise, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2022

Practice location Address checks out

15956 W Cortez St
Surprise, AZ 85379-1162
Phone: (623) 440-6659
Show map & directions

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

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence ALM-011151 (AZ)

Record details

NPI number1174248363
Entity typeIndividual (Type 1)
GenderFemale
Credentials BSNRNMSN
Sole proprietorYes
NPI enumeratedOctober 10, 2022
Last updated in NPPESOctober 10, 2022
Certification dateOctober 10, 2022

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