Individual
JOSEPH L MAZZEI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
125 DWIGHT DR, WELLS, ME 04090-5756
(207) 251-4300
(207) 251-4300
Mailing address
PO BOX 446, WELLS, ME 04090-0446
(207) 251-4300
(207) 251-4300
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN92791/ARNP9836
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3633303
—
TN
01
—
4112595
BCBS TN
TN
Enumeration date
05/20/2006
Last updated
05/12/2008
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