Pamela B Mazza in Charleston - Nurse Practitioner

Pamela B Mazza - NPI 1417904301

Pamela B Mazza is a Nurse Practitioner in Charleston, South Carolina. Pamela B Mazza practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Pamela B Mazza is 1417904301. The last update date is 2016-12-29.

Pamela B Mazza's current location address is 109 Bee St, Charleston, South Carolina. You can contact this provider via phone number 8437897025 and fax number 8437896109. The mailing address for Pamela B Mazza is 109 Bee St, Charleston, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Pamela B Mazza
Address 109 Bee St, Charleston, South Carolina
Phone Number 8437897025
Fax Number 8437896109
Sole Proprietor N
Credentials NP

NPI Number Detail

NPI Number 1417904301
Provider Enumeration Date 2006-05-27
Last Updated Date 2016-12-29

Provider Mailing Address Detail

Address 109 Bee St
City Charleston
State South Carolina (SC)
Post Code 294015703
Phone Number 8437897025
Fax Number 8437896109

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No 712
Definition:
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00648613 SC RAILROAD MEDICARE #
NP0749 SC --

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FAQs about Pamela B Mazza

What is the unique 10-digit identification code assigned to Pamela B Mazza by the Centers for Medicare & Medicaid Services?

The Pamela B Mazza has been issued the NPI (National Provider Identifier) 1417904301, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Pamela B Mazza's facilities are geographically located?

The facilities of Pamela B Mazza are physically situated at the following location: 109 Bee St, Charleston, SC, 294015703.

What is the Pamela B Mazza's specialty and taxonomy code?

The Pamela B Mazza's specialty is Nurse Practitioner, and the corresponding taxonomy code is 363L00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1417904301 to Pamela B Mazza?

The Centers for Medicare & Medicaid Services assigned the 1417904301 to Pamela B Mazza on 2006-05-27.

As of what date was the information regarding Pamela B Mazza, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Pamela B Mazza, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-12-29.

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