Mazzola, Kathleen

Mazzola, Kathleen is an individual health care provider with primary practice located at 470 Johnson Rd Suite 10, Washington PA 15301-8944. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Mazzola, Kathleen can be contacted via phone (724) 223-3816.

Contact Information

Primary practice address
470 Johnson Rd Suite 10 Washington PA 15301-8944
Fax: (724) 223-4079
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X SP008607 Pennsylvania

Profile Details

NPI number 1356338172
LBN Legal business name Mazzola, Kathleen
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2005
Last updated Jul 29th, 2014 - about 12 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 1356338172 NPPES
Pennsylvania Other SP008607 NURSE PRACTITIONER
Pennsylvania Other RN202342L NURSE PRACTITIONER
Pennsylvania Other 1824822 NURSE PRACTITIONER

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