Andre Luiz Bezerra, FNP

Nurse Practitioner · Grants Pass, OR

Individual Active NPI

NPI number 1093528655

Practice location

1701 NW Hawthorne Ave
Grants Pass, OR 97526-1051
Phone
(541) 472-4777
Fax
(541) 471-1439

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NPI record

NPI
1093528655
Entity type
Individual (Type 1)
Enumeration date
January 28, 2025
Last updated
April 3, 2026
Certified
April 3, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X 10053410 OR

Other practice locations (1)

  • 25647 Redwood Hwy, Cave Junction, OR 97523-9332 · (541) 592-4111

About Andre Bezerra

Andre Luiz Bezerra, FNP is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 1701 NW Hawthorne Ave, Grants Pass, OR 97526-1051. The NPI number 1093528655 was assigned on January 28, 2025 and the record was last updated on April 3, 2026.

Andre Bezerra lists a license in the registry: #10053410 (OR) for Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Andre Luiz Bezerra, FNP?

The NPI number is 1093528655.

What is the phone number of Andre Bezerra?

The phone number listed for the practice location is (541) 472-4777.

Where is Andre Bezerra located?

1701 NW Hawthorne Ave, Grants Pass, OR 97526-1051.

What is the taxonomy code for Andre Bezerra?

The primary taxonomy code is 363L00000X – Nurse Practitioner.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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