Individual
DR. FAITH E GRZESIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, PMHNP-BC
Contact information
Practice address
6600 VAN AALST BLVD BLDG 9250, FORT BENNING, GA 31905
(762) 408-4061
Mailing address
6600 VAN AALST BLVD BLDG 9250, FORT BENNING, GA 31905-2102
(762) 408-4061
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1157339
KY
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
041335347
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3012549
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
108135830
EPIDN
—
Enumeration date
09/30/2013
Last updated
07/31/2018
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