Doctor Name: | CATHERINE M MAZZIE |
NPI Number: | 1174953590 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | SP013410 |
Business Practice Address: | 475 N Weaber St Annville, PA - 170031104 |
Business Phone Number: | 7178674671 |
Business Fax Number: | 7178674981 |
Mailing Address: | 307 S Front St, 1st Floor HARRISBURG |
State: | PA |
Postal Code: | 171041621 |
Phone Number: | 7172318540 |
Fax Number: | |
NPI Enumeration Date: | 11/21/2013 |
NPI Last Update Date: | 08/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | SP013410 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |