Individual provider · Type 1 NPI
Alice M. Mazzella
Nurse Practitioner · Charleston, SC
Practice location
9304 Medical Plaza Dr Ste D
Charleston, SC 29406-9143
Fax (843) 553-2123
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 22064 (SC) |
| Adult Health Nurse Practitioner | 363LA2200X | F302704-1 (NY) |
| Nurse Practitioner Primary | 363L00000X | 22064 (SC) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
3 other providers at this address
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About NPI 1023452992
Alice M. Mazzella's National Provider Identifier is 1023452992, issued on Apr 23, 2013. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Charleston, SC. The record was last updated on Jan 27, 2022.