Mazzarella, Grace Amy

Mazzarella, Grace Amy is an sole proprietor health care provider with primary practice located at 4750 The Grove Dr Ste 280 , Windermere FL 34786-8427. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mazzarella, Grace Amy can be contacted via phone (407) 456-7179.

Contact Information

Primary practice address
4750 The Grove Dr Ste 280 Windermere FL 34786-8427
Phone: (407) 456-7179
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9353896 Florida

Profile Details

NPI number 1861865677
LBN Legal business name Mazzarella, Grace Amy
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2015
Last updated Jan 22nd, 2020 - about 4 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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