Mazzola, Christine M.

Mazzola, Christine M. is an individual health care provider with primary practice located at 89B Omega Dr , Newark DE 19713-2065. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mazzola, Christine M. can be contacted via phone (302) 738-5500.

Contact Information

Primary practice address
89B Omega Dr Newark DE 19713-2065
Phone: (302) 738-5500
Fax: (302) 738-9449
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X LG-0000288 Delaware

Profile Details

NPI number 1669471314
LBN Legal business name Mazzola, Christine M.
Credentials R.N., M.S.N., F.N.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2005
Last updated Oct 1st, 2012 - about 12 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 1669471314 NPPES
Delaware MEDICAID 0001172542

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