Individual
ANDRE LUIZ BEZERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1701 NW HAWTHORNE AVE, GRANTS PASS, OR 97526-1051
(541) 472-4777
(541) 471-1439
Mailing address
1701 NW HAWTHORNE AVE, GRANTS PASS, OR 97526-1051
(541) 472-4777
(541) 471-1439
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10053410
OR
363L00000X
Nurse Practitioner
Primary
APRN11037737
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500867922
—
OR
Enumeration date
01/28/2025
Last updated
04/03/2026
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