Individual provider · Type 1 NPI
Mallory Bitetzakis
General Practice Registered Nurse · Lutz, FL
NPI number
1013812189
Active
Practice location
1319 Primwood Ln
Lutz, FL 33549-9347
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | RN9503271 (FL) |
General Practice Registered Nurse: Definition to come...
About NPI 1013812189
Mallory Bitetzakis's National Provider Identifier is 1013812189, issued on Oct 9, 2026. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Lutz, FL. The record was last updated on Oct 9, 2026.