Individual
KAYLA BROOKE MAZZANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1401 SCOTT ST APT 411, LITTLE ROCK, AR 72202-5083
(870) 733-7033
Mailing address
11001 EXECUTIVE CENTER DR STE 200, LITTLE ROCK, AR 72211-4393
(501) 812-7215
(501) 812-7207
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
125824
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
AR
Other
Enumeration date
04/22/2020
Last updated
07/21/2020
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