Provider Demographics
NPI:1093898504
Name:KIZILAY, PATRICIA (FNP)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:
Last Name:KIZILAY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1756 BOCA RATON CT
Mailing Address - Street 2:
Mailing Address - City:PUNTA GORDA
Mailing Address - State:FL
Mailing Address - Zip Code:33950-5137
Mailing Address - Country:US
Mailing Address - Phone:917-494-2766
Mailing Address - Fax:
Practice Address - Street 1:1756 BOCA RATON CT
Practice Address - Street 2:
Practice Address - City:PUNTA GORDA
Practice Address - State:FL
Practice Address - Zip Code:33950-5137
Practice Address - Country:US
Practice Address - Phone:917-494-2766
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2013-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF333362-1363LF0000X
FL651682363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily