# LARISA BIZNICHUK MSN PMHNP-BC PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396283933
- **Authorized official:** LARISA D BISNICHUK PMHNP-BC (PRESIDENT)
- **Authorized official phone:** (520) 638-5997

## Contact information

- **Practice address:** 6700 N ORACLE RD STE 121, TUCSON, AZ 85704-7733
- **Practice address phone:** (520) 638-5997
- **Practice address fax:** (520) 638-6948
- **Mailing address:** 6700 N ORACLE RD STE 121, TUCSON, AZ 85704-7733
- **Mailing address phone:** (520) 638-5997
- **Mailing address fax:** (520) 638-6948

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | AP3414 | AZ | Yes |

## Other

- **Enumeration date:** 02/02/2017
- **Last updated:** 02/02/2017