Individual
JOANN BEZANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
51 N 39TH ST, 4 PHI, PHILADELPHIA, PA 19104-2640
(215) 662-9189
(215) 243-4612
Mailing address
51 N 39TH ST, 4 PHI, PHILADELPHIA, PA 19104-2640
(215) 662-9189
(215) 243-4612
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NJ00032200
NJ
363LA2200X
Adult Health Nurse Practitioner
Primary
UP006355C
PA
Other
Enumeration date
05/17/2006
Last updated
10/24/2015
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