Provider Demographics
NPI:1336549732
Name:GIZA, JOSEPH (NP)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:GIZA
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13O WEST RAVINE ROAD
Mailing Address - Street 2:2ND FLOOR EDUCATION DEPT
Mailing Address - City:KINGSPORT
Mailing Address - State:TN
Mailing Address - Zip Code:37660-3365
Mailing Address - Country:US
Mailing Address - Phone:423-224-3460
Mailing Address - Fax:
Practice Address - Street 1:344 OVERLOOK DR
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:VA
Practice Address - Zip Code:24266-3436
Practice Address - Country:US
Practice Address - Phone:276-883-5900
Practice Address - Fax:276-883-5899
Is Sole Proprietor?:No
Enumeration Date:2014-09-04
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001211681163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse