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

Marisa Anne Letheby, MSN, FNP-C, FNP-BC

Individual provider Nurse Practitioner · NPI 1891398392

Marisa Anne Letheby, MSN, FNP-C, FNP-BC is a Nurse Practitioner in Staten Island, New York. Qualified in 2020, 6 years ago. Practices with Amboy Medical Practice PC, a 173-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2020
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

1161 Victory Blvd
Staten Island, NY 10301-3621
Phone: (718) 818-1162
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 346781 (NY)

Record details

NPI number1891398392
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSN , FNP-C , FNP-BC
Sole proprietorYes
NPI enumeratedNovember 17, 2020
Last updated in NPPESOctober 16, 2024
Certification dateOctober 16, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Amboy Medical Practice Pc — 173 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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