Mazur, Shere Lynn

Mazur, Shere Lynn is an sole proprietor health care provider with primary practice located at 2121 Lake Ave , Fort Wayne IN 46805-5100. She recently has only one registered license in Nursing Service Providers / Emergency, which is considered as her primary health care specialty. Mazur, Shere Lynn can be contacted via phone (260) 460-1347.

Contact Information

Primary practice address
2121 Lake Ave Fort Wayne IN 46805-5100
Phone: (260) 460-1347
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Emergency 163WE0003X 28106785A Indiana

Profile Details

NPI number 1366171506
LBN Legal business name Mazur, Shere Lynn
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2022
Last updated Jun 5th, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366171506 NPPES
Indiana Other 28106785A REGISTERED NURSE

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