Mazanec, Mary S
Mazanec, Mary S is an individual health care provider with primary practice located at 75 Washington Street , Norwell MA 02061-9147. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Mazanec, Mary S can be contacted via phone (781) 878-5200.Contact Information
Primary practice address
75 Washington Street
Norwell MA 02061-9147
Phone: (781) 878-5200
Fax: (781) 878-3989
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 263381 | Massachusetts |
Profile Details
| NPI number | 1003974585 |
|---|---|
| LBN Legal business name | Mazanec, Mary S |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 5th, 2006 |
| Last updated | Feb 10th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003974585 | NPPES |
| Massachusetts | Other | 042297845 | GREAT WEST HEALTH CARE |
| Massachusetts | Other | NP5514 | GREAT WEST HEALTH CARE |
| Massachusetts | Other | 042297845 | GREAT WEST HEALTH CARE |
| Massachusetts | Other | 042297845 | GREAT WEST HEALTH CARE |
| Massachusetts | MEDICAID | 0710661 | GREAT WEST HEALTH CARE |
| Massachusetts | Other | 121285 | GREAT WEST HEALTH CARE |
| Massachusetts | Other | 042297845 | GREAT WEST HEALTH CARE |
| Massachusetts | Other | NP9628 | GREAT WEST HEALTH CARE |
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