Individual
MRS. BETHANN LIZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
400 PINE GROVE CMNS, YORK, PA 17403-5161
(717) 755-4422
Mailing address
730 WILLOW RIDGE DR, YORK, PA 17404-6604
(443) 866-2755
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
SP027633
PA
207Q00000X
Family Medicine Physician
SP027633
PA
363L00000X
Nurse Practitioner
Primary
SP027633
PA
Other
Enumeration date
06/05/2023
Last updated
05/28/2024
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