MARILYN NISHITANI CFNP
NPI 1629060835
Nurse Practitioner in Roswell, NM

Active since August 16, 2005
1112 N MAIN ST, ROSWELL, NM 88201(575) 627-4200(575) 627-4212 Get Directions Write a Review

NPPES record last updated: February 5, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Marilyn Nishitani Cfnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARILYN NISHITANI CFNP (NPI 1629060835) is an individual nurse practitioner in Roswell, New Mexico, licensed in New Mexico (R35362) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1629060835
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMARILYN NISHITANICredential: CFNP
Location Address1112 N MAIN STRoswell, NM 88201-5010
Mailing Address1112 N Main StRoswell, NM 88201-5010 · (575) 627-4200 · Fax (575) 627-4212
Fax(575) 627-4212
Sole ProprietorNo
Enumeration DateAugust 16, 2005
Last NPPES UpdateFebruary 5, 2016
NPI 1629060835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in NM · R35362
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1112 N MAIN ST, Roswell, NM 88201

Other Identifiers 2

MedicaidS4973NM
Medicare PINNMA103066NM

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
1112 N MAIN ST
ROSWELL, NM 88201
Nurse Practitioner (Family)
1112 N MAIN ST
ROSWELL, NM 88201
Clinic/Center (Rural Health)
1112 N MAIN ST
ROSWELL, NM 88201
Emergency Medicine
1112 N MAIN ST
ROSWELL, NM 88201

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marilyn Nishitani's NPI number?

The NPI number for Marilyn Nishitani is 1629060835. It was assigned to this individual provider in the NPPES registry on August 16, 2005.

Where is Marilyn Nishitani located?

Marilyn Nishitani practices at 1112 N Main St, Roswell, NM 88201. The listed phone number is (575) 627-4200.

What is Marilyn Nishitani's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Marilyn Nishitani was last updated on February 5, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.