Individual provider · Type 1 NPI

Mary Beth Mazza-Ricketts, APRN

Pediatric Nurse Practitioner · Baton Rouge, LA

NPI number 1447682802 Active

Practice location

8415 Goodwood Blvd, Suite 100
Baton Rouge, LA 70806-7851

Call (225) 765-5633 Map

Fax (225) 765-5634

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X119996-7293 (LA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1447682802

Mary Beth Mazza-Ricketts, APRN's National Provider Identifier is 1447682802, issued on Aug 7, 2013. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Baton Rouge, LA. The record was last updated on Feb 5, 2021.