Provider Demographics
NPI:1104959667
Name:BESSETTE, DENISE G (RN)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:G
Last Name:BESSETTE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:DENSIE
Other - Middle Name:G
Other - Last Name:BOSSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:5541 65TH TER
Mailing Address - Street 2:
Mailing Address - City:PINELLAS PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33781-5533
Mailing Address - Country:US
Mailing Address - Phone:727-541-5759
Mailing Address - Fax:
Practice Address - Street 1:6000 49TH ST N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33709-2114
Practice Address - Country:US
Practice Address - Phone:727-521-4411
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9184090163W00000X
VA0001196170163W00000X
NH045007-21163W00000X
AZRN134271163W00000X
NVRN49337163W00000X
CA591348163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse