Individual
PETA GAY BEZEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1415 W HOBSONWAY, BLYTHE, CA 92225-1479
(760) 922-4981
Mailing address
852 E DANENBERG DR, EL CENTRO, CA 92243-8517
(760) 344-9951
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
95027564
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10029163
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
ARNP9441794
FL
Other
Enumeration date
01/07/2017
Last updated
11/26/2025
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