Individual
JULIE LYNN MAZUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
4815 LIBERTY AVE STE 439, PITTSBURGH, PA 15224-2156
(412) 578-3925
Mailing address
4815 LIBERTY AVE STE 439, PITTSBURGH, PA 15224-2156
(412) 578-3925
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP027887
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16046026
CAQH
—
Enumeration date
08/23/2023
Last updated
09/28/2024
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