Individual provider · Type 1 NPI

Andre Luiz Bezerra, FNP

Nurse Practitioner · Grants Pass, OR

NPI number 1093528655 Active

Practice location

1701 NW Hawthorne Ave
Grants Pass, OR 97526-1051

Fax (541) 471-1439

Other practice locations

  • 25647 Redwood Hwy, Cave Junction, OR 97523-9332 · (541) 592-4111

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X10053410 (OR)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

54 other providers at this address

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About NPI 1093528655

Andre Luiz Bezerra, FNP's National Provider Identifier is 1093528655, issued on Jan 28, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Grants Pass, OR. The record was last updated on Apr 3, 2026.