Provider Demographics
NPI:1609354869
Name:PIZANIE, TERRI A (FNP-C)
Entity Type:Individual
Prefix:
First Name:TERRI
Middle Name:A
Last Name:PIZANIE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:TERRI
Other - Middle Name:A
Other - Last Name:WELLS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:PO BOX 1288
Mailing Address - Street 2:
Mailing Address - City:WINNFIELD
Mailing Address - State:LA
Mailing Address - Zip Code:71483-1288
Mailing Address - Country:US
Mailing Address - Phone:318-209-4510
Mailing Address - Fax:318-209-4519
Practice Address - Street 1:9465 US HIGHWAY 165
Practice Address - Street 2:
Practice Address - City:POLLOCK
Practice Address - State:LA
Practice Address - Zip Code:71467-3511
Practice Address - Country:US
Practice Address - Phone:318-310-2510
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-31
Last Update Date:2019-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP10178363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily