Individual
MRS. ELIZABETH JEAN MAZZELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
5059 OLD 27 S, GAYLORD, MI 49735-9590
(989) 705-2225
Mailing address
912 N SUMMITVIEW DR, GAYLORD, MI 49735-9102
(989) 858-0938
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704244043
MI
Other
Enumeration date
10/06/2015
Last updated
10/06/2015
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