Provider Demographics
NPI:1477704153
Name:RIZZI, TERESE ANN (RN, CNS-BC APN)
Entity Type:Individual
Prefix:MRS
First Name:TERESE
Middle Name:ANN
Last Name:RIZZI
Suffix:
Gender:F
Credentials:RN, CNS-BC APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:936 BARCARMIL WAY
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34110-0903
Mailing Address - Country:US
Mailing Address - Phone:239-970-2484
Mailing Address - Fax:239-228-8640
Practice Address - Street 1:936 BARCARMIL WAY
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34110
Practice Address - Country:US
Practice Address - Phone:941-375-3686
Practice Address - Fax:239-566-9916
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-01
Last Update Date:2018-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0022023-01364S00000X
NJ26NC05023600364S00000X
FLRN9228921163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ052144MVKMedicare PIN
NJP42988Medicare UPIN