Individual
MRS. POLLY MARIE MAZANEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
11100 EUCLID AVE, UNIVERSITY HOSPITALS OF CLEVELAND IRELAND CANCER CENTER, CLEVELAND, OH 44106-1716
(216) 844-5251
(216) 844-8658
Mailing address
130 GREY FOX RUN, BENTLEYVILLE, OH 44022-3397
(440) 247-1418
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
NP-05395
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2324676
—
OH
Enumeration date
09/22/2006
Last updated
07/08/2007
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