Individual
MRS. KATELYN SUZANNE MAZUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
4030 W BOY SCOUT BLVD STE 800, TAMPA, FL 33607-5713
(813) 286-0033
(813) 282-1806
Mailing address
PO BOX 748817, ATLANTA, GA 30374-8817
(813) 286-0033
(813) 282-1806
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
APRN11014793
FL
367A00000X
Advanced Practice Midwife
Primary
APRN11014793
FL
Other
Enumeration date
07/18/2017
Last updated
02/03/2026
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