Individual provider · Type 1 NPI
Grace Marie Mazzatta, APN
Adult Health Nurse Practitioner · Red Bank, NJ
NPI number
1912989435
Active
Practice location
1 Riverview Medical Center
Red Bank, NJ 07701
Mailing address
425 Jack Martin Blvd
Brick, NJ 08724-7732
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 26NN08727500 (NJ) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1912989435
Grace Marie Mazzatta, APN's National Provider Identifier is 1912989435, issued on Nov 18, 2005. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Red Bank, NJ. The record was last updated on May 9, 2018.