Individual
NATHAN S BREZOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP
Contact information
Practice address
1800 E PARK AVE, STATE COLLEGE, PA 16803-6797
(814) 278-4818
(814) 234-6150
Mailing address
1800 E PARK AVE, STATE COLLEGE, PA 16803-6797
(814) 278-4818
(814) 234-6150
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
SP022985
PA
363LA2200X
Adult Health Nurse Practitioner
Primary
SP022985
PA
Other
Enumeration date
11/21/2012
Last updated
12/31/2020
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