Provider Demographics
NPI:1336167782
Name:FREZZA BATTS, NANCY DORIS (DO)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:DORIS
Last Name:FREZZA BATTS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:485 BECKER RD
Mailing Address - Street 2:
Mailing Address - City:TYRONE
Mailing Address - State:PA
Mailing Address - Zip Code:16686-7517
Mailing Address - Country:US
Mailing Address - Phone:814-502-6753
Mailing Address - Fax:
Practice Address - Street 1:370 SOUTHPOINTE BLVD, SUITE 100
Practice Address - Street 2:MEDEXPRESS
Practice Address - City:CANONSBURG
Practice Address - State:PA
Practice Address - Zip Code:15317
Practice Address - Country:US
Practice Address - Phone:724-873-8932
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2015-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS-006512L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
E53946Medicare UPIN