Individual provider · Type 1 NPI
Emma Elizabeth Heer Mazzilli, MSN, RN, AGACNP-BC
Gerontology Nurse Practitioner · Duarte, CA
NPI number
1093349532
Active
Practice location
1500 Duarte Rd
Duarte, CA 91010-3012
Mailing address
PO Box 512185
Los Angeles, CA 90051-0185
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 95011386 (CA) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 95011386 (CA) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1093349532
Emma Elizabeth Heer Mazzilli, MSN, RN, AGACNP-BC's National Provider Identifier is 1093349532, issued on Feb 24, 2020. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Duarte, CA. The record was last updated on Nov 16, 2020.