MEDICARE: MRS. BRANDY NICOLE RIZZATO AGNP

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	363LA2200X	Adult Health Nurse Practitioner	670528	TX

General Provider Information

NPI Number	:	1679503916
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BRANDY NICOLE RIZZATO AGNP

Provider Business Mailing Address
First Line	:	610 STRICKLAND DR STE 320
Second Line	:
City	:	ORANGE
State	:	TX
Zip	:	77630-4788
Country	:	US
Telephone Number	:	409-883-5300
Fax Number	:

Provider Business Practice Location Address
First Line	:	610 STRICKLAND DR STE 320
Second Line	:
City	:	ORANGE
State	:	TX
Zip	:	77630-4788
Country	:	US
Telephone Number	:	409-883-5300
Fax Number	:

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

Provider Enumeration Date	:	07/03/2006
Last Update Date	:	12/09/2013

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