Individual
MAGGIE WHITT MAZUREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2005 PISGAH CHURCH RD, GREENSBORO, NC 27455-3309
(336) 701-2662
Mailing address
2005 PISGAH CHURCH RD, GREENSBORO, NC 27455-3309
(336) 701-2662
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
24007
SC
363LF0000X
Family Nurse Practitioner
246723
NC
363LF0000X
Family Nurse Practitioner
Primary
5007328
NC
363LF0000X
Family Nurse Practitioner
95000436
CA
Other
Enumeration date
02/26/2014
Last updated
05/04/2022
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