Ms. Mary S Mazanec
Nurse Practitioner - Pediatrics
75 Washington Street
Norwell
, Massachusetts 02061-9147
Ms. Mary S Mazanec
Nurse Practitioner - Pediatrics
75 Washington Street
Norwell
, Massachusetts 02061-9147
(781) 878-3989
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Ms. Mary S Mazanec
- 75 Washington St
- Norwell, MA
- Zip : 02061-1795
- Fax : (781) 878-3989
- Phone : (781) 878-5200
Second Address
- Ms. Mary S Mazanec
- 75 Washington Street
- Norwell, MA
- Zip : 02061-9147
- Fax : (781) 878-3989
- Phone : (781) 878-5200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | 263381 | MA |
National Provider Identifier
| NPI | 1003974585 |
|---|---|
| Provider Name | Ms. Mary S Mazanec |
| First Address | Norwell, MA 02061-1795 |
| Second Address | Norwell, MA 02061-9147 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/12/2006 |
| Last Update Date | 10/02/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 042297845 | GREAT WEST HEALTH CARE (01) | MA |
| 042297845 | MULTI-PLAN (01) | |
| 042297845 | PHCS (01) | MA |
| 042297845 | TRICARE (01) | MA |
| 0710661 | (05) | MA |
| 121285 | FALLON (01) | MA |
| NP5514 | MEDICARE (01) | MA |
| NP9628 | BCBSMA (01) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.