Individual
MRS. SANDRA N MAZZELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3501 MASONS MILL RD STE 503, HUNTINGDON VALLEY, PA 19006-3517
(215) 938-7730
Mailing address
3501 MASONS MILL RD STE 305, HUNTINGDON VALLEY, PA 19006-3517
(215) 938-7730
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP020191
PA
Other
Enumeration date
03/29/2019
Last updated
12/20/2019
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