Provider Demographics
NPI:1174993885
Name:BEZI, PATRICIA (MBA BSN RN)
Entity type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:
Last Name:BEZI
Suffix:
Gender:F
Credentials:MBA BSN RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 122
Mailing Address - Street 2:
Mailing Address - City:FISHERSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22939-0122
Mailing Address - Country:US
Mailing Address - Phone:484-538-6813
Mailing Address - Fax:540-451-2586
Practice Address - Street 1:32 E STONINGTON PL
Practice Address - Street 2:106
Practice Address - City:FISHERSVILLE
Practice Address - State:VA
Practice Address - Zip Code:22939-2164
Practice Address - Country:US
Practice Address - Phone:484-538-6813
Practice Address - Fax:540-451-2586
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-07
Last Update Date:2015-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001246529163W00000X
PARN640580163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse