Individual
CATHERINE M MAZZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
105 FLORAL VALE BLVD, YARDLEY, PA 19067-5522
(856) 412-8777
Mailing address
105 FLORAL VALE BLVD, YARDLEY, PA 19067-5522
(856) 412-8777
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
SP013410
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP029566
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP013410
PA LICENSE
PA
01
—
SP029566
CERTIFIED REGISTERED NURSE PRACTITIONER (PSYCHIATRIC-MENTAL HEALTH)
PA
Enumeration date
11/21/2013
Last updated
08/02/2024
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