Individual
KATE ASHLEY MAZUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CPNP
Contact information
Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(202) 476-5000
Mailing address
PO BOX 744785, ATLANTA, GA 30374-4785
(202) 476-5000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
773414
TX
363LP0200X
Pediatric Nurse Practitioner
773414
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
PENDING
DC
Other
Enumeration date
08/15/2009
Last updated
06/20/2022
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