# MRS. DONNA MICHELE MAZYCK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1316306269
- **Gender:** F
- **Credential:** NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 202D00000X | Integrative Medicine Physician | 26NJ00620700 | NJ | — |
| 207RB0002X | Obesity Medicine (Internal Medicine) Physician | 26NJ00620700 | NJ | — |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | 26NJ00620700 | NJ | — |
| 261QI0500X | Infusion Therapy Clinic/Center | 26NJ00720700 | NJ | — |
| 261QP2300X | Primary Care Clinic/Center | 26NJ00620700 | NJ | — |
| 363LA2200X | Adult Health Nurse Practitioner | 26NJ00620700 | NJ | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | SP015914 | PA | — |

## Other

- **Enumeration date:** 02/21/2016
- **Last updated:** 07/09/2025