Individual provider · Type 1 NPI

Anita Fazzio, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Raceland, LA

NPI number 1215651476 Active

Practice location

141 Twin Oaks Dr
Raceland, LA 70394-2761

Mailing address

1514 Jefferson Hwy
New Orleans, LA 70121-2429

Specialties and licenses

TaxonomyCodeLicense
Psychiatry Physician 2084P0800X227417 (LA)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X227417 (LA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1215651476

Anita Fazzio, PMHNP-BC's National Provider Identifier is 1215651476, issued on Sep 30, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Raceland, LA. The record was last updated on Nov 30, 2022.