Individual provider · Type 1 NPI
Katrina Bezak, NURSE PRACTITIONER
Family Nurse Practitioner · New Haven, CT
NPI number
1104363530
Active
Practice location
20 York St
New Haven, CT 06510-3220
Other practice locations
- 200 1st St SW, Rochester, MN 55905-0001 · (507) 284-2511
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 4995 (MN) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Family Nurse Practitioner Primary | 363LF0000X | 8122 (CT) |
Family Nurse Practitioner: Definition to come...
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About NPI 1104363530
Katrina Bezak, NURSE PRACTITIONER's National Provider Identifier is 1104363530, issued on Jan 24, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in New Haven, CT. The record was last updated on Aug 21, 2019.