Individual
LARISA D BIZNICHUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
3438 N COUNTRY CLUB RD, TUCSON, AZ 85716-1257
(520) 531-1040
(520) 325-1040
Mailing address
3438 N COUNTRY CLUB RD, TUCSON, AZ 85716-1257
(520) 531-1040
(520) 325-1040
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP3414
AZ
Other
Enumeration date
06/09/2008
Last updated
07/21/2022
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