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

Mrs. Marisol Lynette Nieves, CSFA

Individual provider Surgical Physician Assistant · NPI 1871374165

Mrs. Marisol Lynette Nieves, CSFA is a Surgical Physician Assistant in Orange City, Florida. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

855 Hickory Ave
Orange City, FL 32763-6864
Phone: (386) 334-4181
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X

Record details

NPI number1871374165
Entity typeIndividual (Type 1)
GenderFemale
Credentials CSFA
Sole proprietorNo
NPI enumeratedOctober 11, 2023
Last updated in NPPESNovember 24, 2023
Certification dateNovember 24, 2023

Other providers in Orange City