Individual provider · Type 1 NPI
Mary E. Fazio, R.N.
Pediatric Oncology Registered Nurse · Shorewood, WI
NPI number
1073504593
Active
Practice location
4520 N Ardmore Ave
Shorewood, WI 53211-1401
Fax (414) 961-2435
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Registered Nurse | 163WH0200X | None listed |
| Hospice Registered Nurse | 163WH1000X | None listed |
| Pediatric Registered Nurse | 163WP0200X | None listed |
| Pediatric Oncology Registered Nurse Primary | 163WP0218X | None listed |
| Oncology Registered Nurse | 163WX0200X | None listed |
Pediatric Oncology Registered Nurse: Definition to come...
About NPI 1073504593
Mary E. Fazio, R.N.'s National Provider Identifier is 1073504593, issued on Nov 3, 2005. The primary taxonomy on file is Pediatric Oncology Registered Nurse (163WP0218X), and the practice location is in Shorewood, WI. The record was last updated on Jul 13, 2026.