Provider Demographics
NPI:1164553442
Name:GIANNUZZI, BETSY (MS, CRNP)
Entity Type:Individual
Prefix:MRS
First Name:BETSY
Middle Name:
Last Name:GIANNUZZI
Suffix:
Gender:F
Credentials:MS, CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:237 GARRISONVILLE RD STE 102
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22554-1553
Mailing Address - Country:US
Mailing Address - Phone:540-659-1100
Mailing Address - Fax:540-602-2797
Practice Address - Street 1:1900 OPITZ BLVD STE A
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22191
Practice Address - Country:US
Practice Address - Phone:703-494-0912
Practice Address - Fax:703-494-2642
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2018-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024066445363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics