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PAMELA B MAZZA NP NPI 1417904301


NPI Information

NPI: 1417904301
Provider Name: PAMELA B MAZZA, NP
Classification: Nurse Practitioner - 363L00000X
Entity Type: Individual
Address:
109 BEE ST
CHARLESTON, SC
ZIP 29401
Phone: (843) 789-7025
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Pamela B Mazza, NP is a nurse practitioner in Charleston, SC. The provider is (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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. Pamela B Mazza, NP NPI is 1417904301. 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:

109 BEE ST
CHARLESTON, SC
ZIP 29401-703
Phone: (843) 789-7025
Fax: (843) 789-6109

The enumeration date for this NPI number is 5/27/2006 and was last updated on 12/29/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineAPN712SOUTH CAROLINANo
2363L00000XNurse Practitioner712SOUTH CAROLINAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P099249223MEDICARE PINSOUTH CAROLINA
2NP0749MEDICAIDSOUTH CAROLINA
3P00648613OTHERSOUTH CAROLINARAILROAD MEDICARE #
4P099245551MEDICARE PIN
51558313080MEDICARE PINSOUTH CAROLINA

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: 4/28/2024

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