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

Marisa Licata, NP

Individual provider Family Nurse Practitioner · NPI 1790392603

Marisa Licata, NP is a Family Nurse Practitioner in Farmington Hills, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2020
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

21734 Malden St
Farmington Hills, MI 48336-6041
Phone: (248) 229-0183
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 4704303831 (MI)

Record details

NPI number1790392603
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedSeptember 24, 2020
Last updated in NPPESApril 7, 2025
Certification dateApril 7, 2025
Mailing address28050 Grand River Ave, Farmington Hills, MI 48336-5919

Other providers in Farmington Hills