Mazanec, Mary S

Mazanec, Mary S is an individual health care provider with primary practice located at 75 Washington Street , Norwell MA 02061-9147. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Mazanec, Mary S can be contacted via phone (781) 878-5200.

Contact Information

Primary practice address
75 Washington Street Norwell MA 02061-9147
Phone: (781) 878-5200
Fax: (781) 878-3989
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 263381 Massachusetts

Profile Details

NPI number 1003974585
LBN Legal business name Mazanec, Mary S
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2006
Last updated Feb 10th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003974585 NPPES
Massachusetts Other 042297845 GREAT WEST HEALTH CARE
Massachusetts Other NP5514 GREAT WEST HEALTH CARE
Massachusetts Other 042297845 GREAT WEST HEALTH CARE
Massachusetts Other 042297845 GREAT WEST HEALTH CARE
Massachusetts MEDICAID 0710661 GREAT WEST HEALTH CARE
Massachusetts Other 121285 GREAT WEST HEALTH CARE
Massachusetts Other 042297845 GREAT WEST HEALTH CARE
Massachusetts Other NP9628 GREAT WEST HEALTH CARE

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