Healthcare Provider Details

I. General information

NPI: 1396210993
Provider Name (Legal Business Name): RIZZI PSYCHIATRIC ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2018
Last Update Date: 09/03/2021
Certification Date: 09/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

936 BARCARMIL WAY
NAPLES FL
34110-0903
US

IV. Provider business mailing address

936 BARCARMIL WAY
NAPLES FL
34110-0903
US

V. Phone/Fax

Practice location:
  • Phone: 239-265-3391
  • Fax: 239-425-3214
Mailing address:
  • Phone: 239-265-3391
  • Fax: 239-425-3214

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH LARSON
Title or Position: PRACTICE ADMINISTRATOR
Credential: ARNP
Phone: 239-265-3391