Marietta Formoso Light, NP-C - Nurse Practitioner in Clovis, CA

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Marietta Formoso Light, NP-C is a Nurse Practitioner - Obstetrics & Gynecology based in Clovis, California. Marietta Formoso Light is licensed to practice in California (license number 6030) and her current practice location is 782 Medical Center Dr E Ste 212, Clovis, California. She can be reached at her office (for appointments etc.) via phone at (559) 451-3676.

NPI number for Marietta Formoso Light is 1750368650 and her current mailing address is 2625 E Divisadero St, Fresno, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1750368650.

Contact Information

Marietta Formoso Light, NP-C
782 Medical Center Dr E Ste 212,
Clovis, CA 93611-6889
(559) 451-3676
(559) 451-3680

Map and Direction




Provider's Profile

Full NameMarietta Formoso Light
GenderFemale
SpecialityNurse Practitioner - Obstetrics & Gynecology
Location782 Medical Center Dr E Ste 212, Clovis, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1750368650
  • Provider Enumeration Date: 12/30/2005
  • Last Update Date: 10/08/2020

Medical Identifiers

Medical identifiers for Marietta Formoso Light such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750368650NPI-NPPES
302503OtherCAREGISTERED NURSE LIC
6030OtherCANURSE PRACTITIONER FURN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 6030 (California)Secondary
363LW0102XNurse Practitioner - Women's Health 6030 (California)Secondary
363LX0001XNurse Practitioner - Obstetrics & Gynecology 6030 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Marietta Formoso Light is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Marietta Formoso Light, NP-C
2625 E Divisadero St,
Fresno, CA 93721-1431

Ph: (559) 443-2682		Marietta Formoso Light, NP-C
782 Medical Center Dr E Ste 212,
Clovis, CA 93611-6889

Ph: (559) 451-3676

Reviews and Comments


Nurse Practitioner Nurses in Clovis, CA

Robin D Medina, NP, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 785 N Medical Center Dr W, Clovis, CA 93611
Phone: 559-387-1900    Fax: 559-387-1950
Christine Stephens,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 427 W Nees Ave Ste 103, Clovis, CA 93611
Phone: 559-770-3434    
Jane Marguerite Johnson, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2755 Herndon Ave, Clovis Community Medical Center, Clovis, CA 93611
Phone: 559-638-2252    
Maika Vang,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2871 Rall Ave, Clovis, CA 93611
Phone: 559-916-7106    
Gloria Christina Sudeta, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2740 Herndon Ave, Clovis, CA 93611
Phone: 559-299-2608    
Joyalene Onn Lin Ng Hiersche, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 275 W Herndon Ave, Clovis, CA 93612
Phone: 559-324-6200    Fax: 559-324-6280
Lesha Summer Grigsby, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 41 W Barcelona Ln, Clovis, CA 93619
Phone: 559-346-9234    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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