Provider Demographics
NPI:1558615138
Name:RIZZO, JOSEPH P (ARNP)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:P
Last Name:RIZZO
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2270 SUTHERLAND AVE
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-2331
Mailing Address - Country:US
Mailing Address - Phone:865-544-6222
Mailing Address - Fax:865-544-6223
Practice Address - Street 1:2270 SUTHERLAND AVE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-2331
Practice Address - Country:US
Practice Address - Phone:865-544-6222
Practice Address - Fax:865-544-6223
Is Sole Proprietor?:No
Enumeration Date:2012-11-02
Last Update Date:2012-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000016188363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health