Provider Demographics
NPI:1902536527
Name:GONZALEZ, MARISSA LEE (APRN-CNP, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:MARISSA
Middle Name:LEE
Last Name:GONZALEZ
Suffix:
Gender:F
Credentials:APRN-CNP, FNP-C
Other - Prefix:MS
Other - First Name:MARISSA
Other - Middle Name:LEE
Other - Last Name:HILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN-CNP, FNP-C
Mailing Address - Street 1:11511 SHADOW CREEK PKWY
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-7298
Mailing Address - Country:US
Mailing Address - Phone:713-442-0000
Mailing Address - Fax:
Practice Address - Street 1:4710 BELLAIRE BLVD STE 250
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-4531
Practice Address - Country:US
Practice Address - Phone:254-718-7110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-15
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1084551363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily