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Individual

MOLLANDA LAURA MAZZO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AG-ACNP

Contact information

Practice address
1325 N LITCHFIELD RD, GOODYEAR, AZ 85395-1228
(623) 242-1231
Mailing address
1325 N LITCHFIELD RD STE 125, GOODYEAR, AZ 85395-1215
(623) 242-1231
(623) 242-1232

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP11152
AZ
363LA2100X
Acute Care Nurse Practitioner
AP11152
AZ
363LA2200X
Adult Health Nurse Practitioner
AP11152
AZ

Other

Enumeration date
07/26/2019
Last updated
11/12/2025
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