Provider Demographics
NPI:1598445603
Name:GURZLER, BETH C (RN)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:C
Last Name:GURZLER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 COMEAU RD
Mailing Address - Street 2:
Mailing Address - City:LAKE LUZERNE
Mailing Address - State:NY
Mailing Address - Zip Code:12846-3152
Mailing Address - Country:US
Mailing Address - Phone:518-693-2098
Mailing Address - Fax:
Practice Address - Street 1:19 COMEAU RD
Practice Address - Street 2:
Practice Address - City:LAKE LUZERNE
Practice Address - State:NY
Practice Address - Zip Code:12846-3152
Practice Address - Country:US
Practice Address - Phone:518-693-2098
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-24
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY630435-01163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse