Individual provider · NPI-1
Peter Bizon, FNP
Nurse Practitioner, Family · Fort Benning, GA
NPI number1376178616
StatusActive
Last updated in NPPESJul 9, 2026
Details
- NPI
- 1376178616
- Entity type
- Individual (NPI-1)
- Name
- Peter Bizon
- Credential
- FNP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 6, 2020
- Certification date
- Jul 9, 2026
- Last updated
- Jul 9, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 0024179587 | VA | Yes |
| 163W00000X | Registered Nurse | 0001224712 | VA |
Practice location
6600 Van Aalst BlvdFort Benning, GA 31905-2102
Phone 762-408-0455
Mailing address
6600 Van Aalst BlvdFort Benning, GA 31905-2102
Phone 762-408-0455
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