JOANNE K MAZANDER ANP NPI 1306830575

NPI Information

  • NPI: 1306830575
  • Provider Name: JOANNE K MAZANDER, ANP
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9500 KANIS RD
    SUITE 101
    LITTLE ROCK, AR
    ZIP 72205
  • Phone: (501) 202-1902

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NPI Details

Joanne K Mazander, ANP is an adult health nurse practitioner in Little Rock, AR with 30 years of experience. Joanne K Mazander, ANP NPI is 1306830575. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9500 KANIS RD
SUITE 101
LITTLE ROCK, AR
ZIP 72205-324
Phone: (501) 202-1902
Fax: (501) 202-1512

The NPI 1306830575 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/2/2005 and was last updated on 1/16/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult HealthA01342ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15S456MEDICARE PINARKANSAS
2P99612MEDICARE UPINARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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