LARISA D BIZNICHUK


Address: 3438 N Country Club Rd, Tucson, AZ 85716-1257
Phone: (520) 531-1040

LARISA D BIZNICHUK (NPI# 1205095791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205095791
Entity Type Individual
Full Name LARISA D BIZNICHUK
Credential PMHNP
Practice Address 3438 N Country Club Rd
Tucson
AZ 85716-1257
Practice Telephone (520) 531-1040
Practice Fax Number 5203251040
Mailing Telephone (520) 531-1040
Mailing Fax Number 5203251040
Enumeration Date 2008-06-09
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
AP3414 AZ Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
6700 N Oracle Rd, Ste 121, Tucson, AZ 857047733 5206385997 5206386948

Office Location

Street Address 3438 N COUNTRY CLUB RD
City TUCSON
State AZ
Zip Code 85716-1257

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033501630 Katherine Crawford Specialist/Technologist 3438 N Country Club Rd, Tucson, AZ 85716-1257 2015-02-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063065043 Kristi Watson Mdpc Clinic/Center Hodges Eye Care and Surgical Location, 1502 N. Tucson Blvd, Tucson, AZ 85716 2019-07-19
1639731326 Leigh-anne Andre Social Worker 1135 N. Jones Blvd, Tucson, AZ 85716 2019-07-02
1053802462 Thomas Scott Mcvean Technician, Pathology 718 N Richey Blvd, Tucson, AZ 85716 2018-05-21
1063923787 Intermountain Health Center, Inc. Clinic/Center 3815 E. Monte Vista, Apt. 1101, Tuscon, AZ 85716 2017-10-20
1992224729 Rocio Fonseca Counselor 1014 N Country Club, Tucson, AZ 85716 2017-09-13
1548784473 Adrian Linda Fait Speech-Language Pathologist Child & Family Resources, Inc., 2800 E. Broadway Blvd, Tucson, AZ 85716 2017-08-02
1447701867 Katheryn Fredman Counselor 3830 E. Bellevue St., Tucson, AZ 85716 2016-10-20
1396114211 Craig Stark Internal Medicine 2978 E Greenlee St, Tucson, AZ 85716 2015-09-21
1598142283 Layla Carol Bradley Nurse Practitioner 3832 E. Speedway, Minute Clinic, Tucson, AZ 85716 2015-05-01
1134547813 Maeve Shaughnessy Counselor 2921 E Fort Lowell Rd Ste 207, Tucson, AZ 85716 2014-03-31
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164031563 Yun Bunch Nurse Practitioner 3220 W Ina Rd Apt 3102, Tucson, AZ 85741-2163 2020-07-31
1013525534 James Tutu Fiske I Nurse Practitioner 5700 E. Pima Street Suite C., Tucson, AZ 85712 2020-07-21
1497370258 Summit Behavioral Health Pllc Nurse Practitioner 8230 E Broadway Blvd Ste E7, Tucson, AZ 85710-4002 2020-06-08
1811523210 Phillip Allen Stensrud Nurse Practitioner 1416 E Linden St, Tucson, AZ 85719-3634 2020-03-17
1952948911 Esteem Behavioral Healthcare LLC Nurse Practitioner 6650 N Oracle Rd Ste 110, Tucson, AZ 85704-5604 2019-12-09
1679115489 Eric James Mccracken Nurse Practitioner 1230 South Cherrybell Stravanue, Tucson, AZ 85713 2019-10-14
1326583014 Tucson Treatment Center, Inc Nurse Practitioner 10573 E Oakbrook St, Tucson, AZ 85747-5966 2017-01-04
1801266556 Jennifer Budd Nurse Practitioner 2435 N. Castro Avenue, Tucson, AZ 85730 2015-10-06
1215303946 Joy Kwakuyi Nurse Practitioner 4400 E Broadway Blvd Ste 411, Tucson, AZ 85711-3554 2015-08-17
1659776557 Mahmoud Moghaddami Nurse Practitioner 1075 E Ft Lowell, Tucson, AZ 85749 2014-11-04
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Competitor

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City TUCSON
Zip Code 85716

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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