NATHAN S BREZOVIC (NPI# 1831433358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831433358 |
| Entity Type | Individual |
| Full Name | NATHAN S BREZOVIC |
| Credential | ACNP |
| Practice Address |
620 John Paul Jones Cir Portsmouth VA 23708-2111 |
| Mailing Address |
103 Squire Reach Suffolk VA 23434-9161 |
| Practice Telephone | 7579533420 |
| Mailing Telephone | 7579533420 |
| Enumeration Date | 2012-11-21 |
| Last Update Date | 2012-11-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
0001178460 | VA | Nursing Service Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
0024170476 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
620 JOHN PAUL JONES CIR |
| City | PORTSMOUTH |
| State | VA |
| Zip Code | 23708-2111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427054840 | Debra Tooke Crowell | Registered Nurse | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2005-06-21 |
| 1659970424 | Jennifer T Birchwale | Student in an Organized Health Care Education/Training Program | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-10-22 |
| 1861091985 | Carin Kimberly Teeters | Psychologist | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-10-20 |
| 1275130825 | Dartangion Pierre Walker | Dental Hygienist | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-10-07 |
| 1750996054 | Kevin Wilfong | Psychologist | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-09-14 |
| 1598379901 | Paula Shepard | Psychologist | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-09-02 |
| 1578177234 | Rebekah Gunter | Psychologist | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-09-01 |
| 1225641863 | Dylan Quoc-chuong Vu | Dentist | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-08-24 |
| 1467060111 | Ili Yuan | Dentist | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-07-20 |
| 1750909172 | Marsades Ceasar | Social Worker | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932724754 | William Dowling | Student in an Organized Health Care Education/Training Program | 260 John Paul Jones Circle, Fpo, AA 23708 | 2020-06-09 |
| 1760003156 | Kylie Miller | Student in an Organized Health Care Education/Training Program | 600 John Paul Jones Circle, Portsmouth, VA 23708 | 2020-04-27 |
| 1750900304 | Jonathan David Hickman | Student in an Organized Health Care Education/Training Program | Nmcp 620 John Paul Jones Cir., Bldg 3, Portsmouth, VA 23708 | 2020-04-14 |
| 1447716550 | Nathan Le Holterman | Student in an Organized Health Care Education/Training Program | Navy Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708 | 2019-02-13 |
| 1467930545 | Jonathan Volland | Dentist | Naval Medical Center - 620 John Paul Jones Cr, Portsmouth, VA 23708 | 2018-08-01 |
| 1629570171 | Brendan James O'shea | Student in an Organized Health Care Education/Training Program | 690 John Paul Jones Circle, Fpo, AA 23708 | 2018-03-01 |
| 1467909077 | Patricia Hicks Smith | Nurse Practitioner | 620 John Paul Jones Blvd., Naval Medical Center Portsmouth, Portsmouth, VA 23708 | 2016-09-01 |
| 1790139392 | Lauren Pitters | Student in an Organized Health Care Education/Training Program | 620 John Paul Jones Circle Drive, Naval Medical Center Portsmouth, Portsmouth, VA 23708 | 2016-04-20 |
| 1841683745 | Karrie Anne Brondell Walker | Student in an Organized Health Care Education/Training Program | 620 John Paul Jones, Naval Medical Center Portsmouth, Portsmouth, VA 23708 | 2015-03-17 |
| 1962821967 | Jody Manners | Psychiatry & Neurology | 620 John Paul Jones Cir # 2e, Portsmouth, VA 23708 | 2014-04-08 |
| Find all providers in zip 23708 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154662450 | Neil Williams | Nurse Practitioner | 620 John Paul Jones Circ, Naval Medical Center Portsmouth, Portsmouth, VA 23708-2197 | 2013-03-12 |
| 1144524430 | Daniel Ryan Hebert | Nurse Practitioner | 333 Borthwick Ave Ste 402, Portsmouth, NH 03801-7128 | 2011-01-01 |
| 1346881174 | Lynne Marie Resendes | Nurse Practitioner | 599 Lafayette Rd, Portsmouth, NH 03801-5409 | 2019-10-02 |
| 1225571995 | Tabbetha Jean Carver | Nurse Practitioner | 1805 27th St, Portsmouth, OH 45662-2640 | 2016-11-29 |
| 1902223423 | Michael Thomas Smith | Nurse Practitioner | 1805 27th St, Portsmouth, OH 45662-2640 | 2014-03-21 |
| 1376968453 | Ludivina Torrion Warren | Nurse Practitioner | 1805 27th St, Portsmouth, OH 45662-2640 | 2014-02-25 |
| 1942623038 | Sandra Nestor | Nurse Practitioner | 620 John Paul Jones Cir, Portsmouth, VA 23708-2197 | 2014-01-27 |
| 1336574565 | Scott E Avery | Nurse Practitioner | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2013-09-06 |
| 1215270350 | Tiffany S Shanklin | Nurse Practitioner | 1805 27th St, Portsmouth, OH 45662-2640 | 2013-03-27 |
| 1336400985 | Billie Denise Smith | Nurse Practitioner | 620 John Paul Jones Cir, Critical Care Department, Portsmouth, VA 23708-2111 | 2012-05-30 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 23708 |
Please comment or provide details below to improve the information on NATHAN S BREZOVIC.
| 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.