Individual
LUISA MAZAEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
35 HIGHLAND CIR STE 101, NEEDHAM, MA 02494-3033
(857) 452-0865
Mailing address
35 HIGHLAND CIR STE 101, NEEDHAM, MA 02494-3033
(857) 452-0865
(855) 576-5113
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2340149
MA
Other
Enumeration date
04/22/2024
Last updated
01/26/2025
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