Individual
SYBIL TEZZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1 HAVENWOOD LN, TRAVELERS REST, SC 29690-9447
(864) 834-8013
Mailing address
105 FAULKNER CIR, GREER, SC 29651-2200
(864) 706-6409
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
21084
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP5526
—
SC
01
—
SCC5036067
MEDICARE PIN
SC
01
—
SCC5036084
MEDICARE PIN
SC
01
—
SCC503J577
MEDICARE PIN
SC
Enumeration date
06/21/2017
Last updated
02/05/2020
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