Individual provider · Type 1 NPI
Julia Maria Mazur, CPNP-PC
Pediatric Nurse Practitioner · Royal Oak, MI
NPI number
1063001352
Active
Practice location
3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Mailing address
26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 202017482 (MI) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1063001352
Julia Maria Mazur, CPNP-PC's National Provider Identifier is 1063001352, issued on Jan 12, 2021. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Royal Oak, MI. The record was last updated on Aug 15, 2022.