Organization
LARISA BIZNICHUK MSN PMHNP-BC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARISA D BISNICHUK PMHNP-BC (PRESIDENT)
(520) 638-5997
Entity
Organization
Contact information
Practice address
6700 N ORACLE RD STE 121, TUCSON, AZ 85704-7733
(520) 638-5997
(520) 638-6948
Mailing address
6700 N ORACLE RD STE 121, TUCSON, AZ 85704-7733
(520) 638-5997
(520) 638-6948
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP3414
AZ
Other
Enumeration date
02/02/2017
Last updated
02/02/2017
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