Provider Demographics
NPI:1093842445
Name:FRIZANE, BEATRICE B (LPN)
Entity Type:Individual
Prefix:MRS
First Name:BEATRICE
Middle Name:B
Last Name:FRIZANE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4333 S DEANZA BLVD
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85297-8973
Mailing Address - Country:US
Mailing Address - Phone:480-279-6915
Mailing Address - Fax:480-279-6905
Practice Address - Street 1:4333 S DEANZA BLVD
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85297-8973
Practice Address - Country:US
Practice Address - Phone:480-279-6915
Practice Address - Fax:480-279-6905
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLP040167164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse