Individual provider · Type 1 NPI

Suzy Mascaro-Walter, CFNP

Pediatric Nurse Practitioner · Morgantown, WV

NPI number 1215037361 Active

Practice location

1 Stadium Drive
Morgantown, WV 26506

Call (304) 598-4800 Map

Fax (304) 598-6873

Mailing address

PO Box 897
Morgantown, WV 26507-0897

Specialties and licenses

Taxonomy	Code	License
Pediatric Nurse Practitioner Primary	363LP0200X	48887 (WV)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1215037361

Suzy Mascaro-Walter, CFNP's National Provider Identifier is 1215037361, issued on Sep 25, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Morgantown, WV. The record was last updated on Oct 22, 2010.