Marlie Rivera Cantillo
Marlie Rivera Cantillo is a Nurse Practitioner in Round Rock, Texas. Qualified in 2024, 2 years ago. Practices with Wholistic Wound Care and Wellness PLLC, a 5-clinician group and accepts Medicare assignment. Licensed in Texas.
- Years since qualifying
- 2
- Licensed in
- TX
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
3926 La Contenta LnRound Rock, TX 78665-2937
Phone: (585) 645-8749
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 1076095 (TX) |
|---|---|
| Hospice Registered Nurse | Taxonomy 163WH1000X · Licence 1076095 (TX) |
Record details
| NPI number | 1598589996 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 12, 2024 |
| Last updated in NPPES | February 24, 2025 |
| Certification date | February 24, 2025 |
| Mailing address | 3926 La Contenta Ln, Round Rock, TX 78665-2937 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | Wholistic Wound Care And Wellness Pllc — 5 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |