Individual
PATRICIA MAZZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
3 COOPER PLZ, SUITE 403, CAMDEN, NJ 08103-1438
(856) 342-3014
(856) 342-2817
Mailing address
1 FEDERAL ST, STE SW200, CAMDEN, NJ 08103-1155
(856) 342-2900
(856) 968-8499
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NO10990400
NJ
363LA2100X
Acute Care Nurse Practitioner
26NJ00327700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NJ00327700
STATE LICENSE
NJ
Enumeration date
05/27/2011
Last updated
11/17/2020
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