Individual provider · Type 1 NPI
Bernadette Hetzel, PAC
Surgical Physician Assistant · Crystal River, FL
NPI number
1205861192
Active
Practice location
Seven Rivers Emergency Dept, 6201 N. Suncoast Blvd
Crystal River, FL 34428
Mailing address
2761 W Edison Pl
Citrus Springs, FL 34433-6115
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | PA9101821 (FL) |
Surgical Physician Assistant: Definition to come...
About NPI 1205861192
Bernadette Hetzel, PAC's National Provider Identifier is 1205861192, issued on Jul 11, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Crystal River, FL. The record was last updated on Feb 27, 2023.