NICOLE MAZZULLO CRPA NPI 1376361907

NPI Information

  • NPI: 1376361907
  • Provider Name: NICOLE MAZZULLO, CRPA
  • Classification: Peer Specialist - 175T00000X
  • Entity Type: Individual
  • Address: 942 ROUTE 376 STE 201-204
    WAPPINGERS FALLS, NY
    ZIP 12590
  • Phone: (845) 765-2366

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NPI Details

Nicole Mazzullo, CRPA is a peer specialist in Wappingers Falls, NY. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Nicole Mazzullo, CRPA NPI is 1376361907. 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:

942 ROUTE 376 STE 201-204
WAPPINGERS FALLS, NY
ZIP 12590-483
Phone: (845) 765-2366

The enumeration date for this NPI number is 10/2/2024 and was last updated on 10/2/2024.

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
1175T00000XPeer SpecialistCRPA-6007NEW YORKYes

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: 3/30/2025

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