Individual
NELSON ANTHONY IANNUZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
480 CENTRAL RD, BLOOMSBURG, PA 17815-3121
(570) 387-6150
(570) 387-6185
Mailing address
100 N ACADEMY AVE # 4903, DANVILLE, PA 17822-9800
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
SP007424
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP007424
CRNP LICENSE
PA
Enumeration date
02/10/2006
Last updated
03/11/2025
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