Individual
MRS. MARY BETH MAZZA-RICKETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
8415 GOODWOOD BLVD, SUITE 100, BATON ROUGE, LA 70806-7851
(225) 765-5633
(225) 765-5634
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 526-0006
(225) 765-9291
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
119996-7293
LA
Other
Enumeration date
08/07/2013
Last updated
02/05/2021
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