MEDICARE: ALYSON BRZEZINSKI FNP-C

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
1	363L00000X	Nurse Practitioner	117612	TX

General Provider Information

NPI Number	:	1326738352
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYSON BRZEZINSKI FNP-C

Provider Business Mailing Address
First Line	:	PO BOX 208357
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75320-8357
Country	:	US
Telephone Number	:	855-876-7246
Fax Number	:	855-277-5070

Provider Business Practice Location Address
First Line	:	205 WOODHEW DR STE 203
Second Line	:
City	:	WACO
State	:	TX
Zip	:	76712-6679
Country	:	US
Telephone Number	:	855-876-7246
Fax Number	:	855-277-5070

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2023
Last Update Date	:	07/11/2023

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