Individual provider · Type 1 NPI

Mollanda Laura Mazzo, AG-ACNP

Nurse Practitioner · Goodyear, AZ

NPI number 1801440904 Active

Practice location

1325 N Litchfield Rd
Goodyear, AZ 85395-1228

Mailing address

1325 N Litchfield Rd Ste 125
Goodyear, AZ 85395-1215

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAP11152 (AZ)
Acute Care Nurse Practitioner 363LA2100XAP11152 (AZ)
Adult Health Nurse Practitioner 363LA2200XAP11152 (AZ)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1801440904

Mollanda Laura Mazzo, AG-ACNP's National Provider Identifier is 1801440904, issued on Jul 26, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Goodyear, AZ. The record was last updated on Nov 12, 2025.