Provider Demographics
NPI:1083158158
Name:PYUZZA, RITA ERINA (NP)
Entity Type:Individual
Prefix:
First Name:RITA
Middle Name:ERINA
Last Name:PYUZZA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:RITA
Other - Middle Name:ERINA
Other - Last Name:PYUZZA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CNP
Mailing Address - Street 1:7013 STORCH LN
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-2127
Mailing Address - Country:US
Mailing Address - Phone:240-425-2000
Mailing Address - Fax:
Practice Address - Street 1:7013 STORCH LN
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-2127
Practice Address - Country:US
Practice Address - Phone:240-425-2000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-08
Last Update Date:2016-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDF1116732363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner