# KATHRYN LEE MAZZELLA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1063239879
- **Gender:** F
- **Credential:** PMHNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 0024196455 | VA | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 0041332 | OH | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 1203370 | TX | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 246018 | LA | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 26NJ15399100 | NJ | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 326830 | AZ | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 408287 | NY | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 4704439379 | MI | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 888637 | NV | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 95035151 | CA | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | AP70091888 | WA | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | APRN11034602 | FL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | NP95035151 | CA | — |

## Other

- **Enumeration date:** 09/23/2024
- **Last updated:** 07/16/2026