Provider Demographics
NPI:1356310452
Name:RIZZI, CORINNA (APRN, BC)
Entity type:Individual
Prefix:MS
First Name:CORINNA
Middle Name:
Last Name:RIZZI
Suffix:
Gender:F
Credentials:APRN, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 ELIZABETH WAY
Mailing Address - Street 2:
Mailing Address - City:NORTH EASTON
Mailing Address - State:MA
Mailing Address - Zip Code:02356-2148
Mailing Address - Country:US
Mailing Address - Phone:508-230-7316
Mailing Address - Fax:508-297-1454
Practice Address - Street 1:9 ELIZABETH WAY
Practice Address - Street 2:
Practice Address - City:NORTH EASTON
Practice Address - State:MA
Practice Address - Zip Code:02356-2148
Practice Address - Country:US
Practice Address - Phone:508-230-7316
Practice Address - Fax:508-297-1454
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA129101364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAPNO144Medicare ID - Type Unspecified