Individual
JACQUELINE MAZZARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP, FNP-C
Contact information
Practice address
1065 AMELIA AVE, ALTOONA, PA 16601-5961
(814) 569-3515
Mailing address
1065 AMELIA AVE, ALTOONA, PA 16601-5961
(814) 569-3515
(814) 569-3515
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP032554
PA
Other
Enumeration date
03/27/2025
Last updated
03/27/2025
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