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NPI Code Detail

MEDICARE: BETHANY LYNN LIZARDI CRNA

MEDICARE: BETHANY LYNN LIZARDI CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist26NR18603900NJ
2367500000XCertified Registered Nurse AnesthetistRN594801PA
3367500000XCertified Registered Nurse AnesthetistRN82858NM

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437507530
Entity Type Code : Individual
Provider Name (Legal Business Name) : BETHANY LYNN LIZARDI CRNA
Provider Business Mailing Address
First Line : 99 HIGHWAY 37 W
Second Line :
City : TOMS RIVER
State : NJ
Zip : 08755-6423
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 320 E NORTH AVE
Second Line :
City : PITTSBURGH
State : PA
Zip : 15212-4756
Country : US
Telephone Number : 412-359-3155
Fax Number : 412-359-3483
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2016
Last Update Date : 03/10/2026

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