| Doctor Name: | AMY VEZZA |
| NPI Number: | 1124035456 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | VP-005236-B |
| Business Practice Address: | 90 Beaver Dr Suite 211d Du Bois, PA - 158012440 |
| Business Phone Number: | 8143756000 |
| Business Fax Number: | 8143759503 |
| Mailing Address: | 300 E Main St, REYNOLDSVILLE |
| State: | PA |
| Postal Code: | 158511282 |
| Phone Number: | 8143756000 |
| Fax Number: | 8143759503 |
| NPI Enumeration Date: | 08/01/2006 |
| NPI Last Update Date: | 06/29/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | VP-005236-B |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |