IndividualActive
Amanda Pezzulo, RN, BSN, BA
NPI 1639730039 · School Registered Nurse · Ballston Spa, NY
Provider details
- NPI number
- 1639730039
- Entity type
- Individual
- Primary specialty
- School Registered NurseNursing Service Providers
- Credential
- RN, BSN, BA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 702920 (NY)
Specialties & taxonomies
Nursing Service Providers
Practice location
210 Ballston Ave
Ballston Spa, NY 12020-3606
Phone: (518) 884-7200
Approximate (ZIP-level) locationGet directions
Mailing address
210 Ballston Ave
Ballston Spa, NY 12020-3606
Registry dates
- Enumerated
- 2019-06-26
- Last updated
- 2019-06-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.