Individual
EMILY MAYZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, CPNP-PC
Contact information
Practice address
1412 SW 43RD ST STE 315, RENTON, WA 98057-4803
(901) 277-7462
Mailing address
1226 131ST CT NE, BELLEVUE, WA 98005-5077
(901) 277-7462
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
938604
TX
163WP0200X
Pediatric Registered Nurse
RN61461052
WA
363L00000X
Nurse Practitioner
1127431
TX
363LP0200X
Pediatric Nurse Practitioner
1127431
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
AP61508314
WA
Other
Enumeration date
06/16/2023
Last updated
03/09/2025
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