Individual
KATRINA BEZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 444-8972
Mailing address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 444-8972
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4995
MN
363LF0000X
Family Nurse Practitioner
Primary
8122
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/24/2017
Last updated
08/21/2019
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