Provider Demographics
NPI:1174895510
Name:REZNY, DENISE CAROL (RN)
Entity type:Individual
Prefix:MISS
First Name:DENISE
Middle Name:CAROL
Last Name:REZNY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:DENISE
Other - Middle Name:CAROL
Other - Last Name:REZNY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:9204 LAZY HOLLOW LN
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:TN
Mailing Address - Zip Code:37167-2982
Mailing Address - Country:US
Mailing Address - Phone:615-355-4375
Mailing Address - Fax:
Practice Address - Street 1:311 23RD AVE N
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1503
Practice Address - Country:US
Practice Address - Phone:615-340-7781
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-01
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000126090163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool