Provider Demographics
NPI:1417200593
Name:TRZCINSKI, JOANN BETTIN (RN, NP)
Entity Type:Individual
Prefix:MRS
First Name:JOANN
Middle Name:BETTIN
Last Name:TRZCINSKI
Suffix:
Gender:F
Credentials:RN, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95 CANAL LANDING BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14626-5111
Mailing Address - Country:US
Mailing Address - Phone:585-368-4642
Mailing Address - Fax:
Practice Address - Street 1:95 CANAL LANDING BLVD STE A
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14626-5111
Practice Address - Country:US
Practice Address - Phone:585-368-4642
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-26
Last Update Date:2012-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY340011363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner