Marietta Formoso Light
NP-C | Nurse Practitioner - Family
782 Medical Center Dr E Ste 212, Clovis
California, 93611-6889
559-451-3676
Marietta Formoso Light is a Clovis, California based nurse practitioner who is specialized as Family nurse. Active license number of Marietta Formoso Light is 6030 for Obstetrics & Gynecology in California. Her current practice location is 782 Medical Center Dr E Ste 212, Clovis. Patients can reach her at 559-451-3676 or can fax her at 559-451-3680. Marietta Formoso Light is NP-C with specialization in Family and her NPI number (Unique professional ID assigned by NPPES) is 1750368650.
Marietta Formoso Light delivers family-focused care which means she provides care for patients ranging from infants to the elderly and every age in between. Family Nurse Practitioner (FNP) are frequently the primary care provider for families, which means that they will not only diagnose conditions, but also treat them. FNPs perform physical exams, order diagnostic tests and procedures, diagnose and treat illness, prescribe needed medications, and teach their patients how to develop healthy lifestyles to promote health and prevent disease.
Complete Profile:
Marietta Formoso Light speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Marietta Formoso Light |
| Specialization: | Family Nurse Practitioner (FNP) |
| Gender: | Female |
| Credentials: | NP-C |
| Practice Address: | 782 Medical Center Dr E Ste 212, Clovis,
California, 93611-6889 |
| Phone: | 559-451-3676 |
| Fax: | 559-451-3680 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1750368650 |
| NPI Enumeration Date: | 30 Dec, 2005 |
| NPI Last Update On: | 08 Oct, 2020 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Marietta Formoso Light are as mentioned below.
| License Number | Specialization | State | Status | |
| 6030 | Obstetrics & Gynecology | California | Primary | |
| 6030 | Family | California | Secondary | |
| 6030 | Women Health | California | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Marietta Formoso Light such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 302503 | Other | California | REGISTERED NURSE LIC |
| 6030 | Other | California | NURSE PRACTITIONER FURN |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Marietta Formoso Light
2625 E Divisadero St,
Fresno, California |
| Zip: | 93721-1431 |
| Phone Number: | 559-443-2682 |
| Fax Number: | 559-443-2681 |
Patients can reach Marietta Formoso Light at
782 Medical Center Dr E Ste 212, Clovis, California or can
call to book an appointment on 559-451-3676.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.