Provider Demographics
NPI:1093134918
Name:RIZZO, JUDI ANNE (RN)
Entity Type:Individual
Prefix:
First Name:JUDI
Middle Name:ANNE
Last Name:RIZZO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 WOODBRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14624-4655
Mailing Address - Country:US
Mailing Address - Phone:585-576-0968
Mailing Address - Fax:
Practice Address - Street 1:4 WOODBRIDGE CT
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14624-4655
Practice Address - Country:US
Practice Address - Phone:585-576-0968
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-08
Last Update Date:2014-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY660647-1163WC0200X, 163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine
No163WH0200XNursing Service ProvidersRegistered NurseHome Health