MRS. DONNA MICHELE MAZYCK (NPI# 1316306269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316306269 |
| Entity Type | Individual |
| Full Name | MRS. DONNA MICHELE MAZYCK |
| Credential | NP |
| Practice Address |
324 Elm St Ste 202b Monroe CT 06468-2284 |
| Practice Telephone | 8443412339 |
| Mailing Telephone | 8443412339 |
| Mailing Fax Number | 2039071234 |
| Enumeration Date | 2016-02-21 |
| Last Update Date | 2020-09-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
26NJ00620700 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
SP015914 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 212 N Arthur Dr, Edgewater Park, NJ 080102102 | 6098470538 | |
| 2476 Swedesford Rd Ste 150, Malvern, PA 193551456 | (844) 902-2345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215018247 | Donna J. Mazyck | Counselor | 11353 Liberty St, Fulton, MD 20759-2511 | 2006-10-17 |
| Street Address |
324 ELM ST STE 202B |
| City | MONROE |
| State | CT |
| Zip Code | 06468-2284 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114115706 | Practitioner Support Services LLP | Nurse Practitioner | 324 Elm St Ste 202b, Monroe, CT 06468-2284 | 2007-10-09 |
| 1215581202 | Tara Christa Sanabria | Nurse Practitioner | 324 Elm St Ste 202b, Monroe, CT 06468-2284 | 2019-07-29 |
| 1760034086 | Patience Oghomwenyemwen Akugue | Nurse Practitioner | 324 Elm St Ste 202b, Monroe, CT 06468-2284 | 2019-07-16 |
| 1376106971 | Odette S Johnson | Nurse Practitioner | 324 Elm St Ste 202b, Monroe, CT 06468-2284 | 2019-04-18 |
| 1154882165 | Erin Kathryn Devanney | Nurse Practitioner | 324 Elm St Ste 202b, Monroe, CT 06468-2284 | 2019-03-31 |
| 1699255141 | Zulfiya Radcliffe | Nurse Practitioner | 324 Elm St Ste 202b, Monroe, CT 06468-2284 | 2018-08-15 |
| 1255817888 | Caitlin Ballaro | Registered Nurse | 324 Elm St Ste 202b, Monroe, CT 06468 | 2018-07-17 |
| 1952899650 | Jessica Potrepka Arsenault | Nurse Practitioner | 324 Elm St Ste 202b, Monroe, CT 06468-2284 | 2018-04-27 |
| 1114414547 | Darcey R Cusano | Nurse Practitioner | 324 Elm St Ste 202b, Monroe, CT 06468-2284 | 2018-04-20 |
| 1053808634 | Trinitas Binan | Nurse Practitioner | 324 Elm St Ste 202b, Monroe, CT 06468-2284 | 2018-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669932117 | Christine Fuchs | Social Worker | 755 Main Street, Building 8, Monroe, CT 06468 | 2019-03-21 |
| 1700379765 | Emily Ding | Dentist | 241 Monroe Tpke, Monroe, CT 06468 | 2018-06-13 |
| 1427563550 | Oak Tree Therapy Pllc | Community/Behavioral Health | 755 Main Street, Building #1, Monroe, CT 06468 | 2017-12-12 |
| 1871013219 | Growth Therapy LLC | Marriage & Family Therapist | 755 Main St., Monroe, CT 06468 | 2017-06-27 |
| 1134677719 | Jacqueline M D'louhy | Social Worker | 115 Main St Main Street Counseling, Unit 3, Monroe, CT 06468 | 2016-09-13 |
| 1841638913 | Tara E Beall-gomes | Counselor | 755 Main St Unit 3, Monroe, CT 06468 | 2013-06-11 |
| 1609122787 | Jaimme Lee Franson | Nurse Practitioner | 324 Elm St Suite 202b, Monroe, CT 06468 | 2012-07-26 |
| 1427383488 | Danielle Maryott | Social Worker | 755 Main Street No. 8 Suite B, Monroe, CT 06468 | 2009-10-08 |
| 1710194758 | Rory T Perimenis | Dentist | 324 Elm Street, Suite 201a, Monroe, CT 06468 | 2007-05-17 |
| 1548339542 | Donald P. Opatrny | Marriage & Family Therapist | 755 Main St Ste 2, Aspetuck Counseling Center, Monroe, CT 06468 | 2006-11-06 |
| Find all providers in zip 06468 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144847211 | Pelican Mobile Health, LLC | Nurse Practitioner | 105 Aycock Rd, Monroe, LA 71203-9335 | 2020-07-06 |
| 1205370558 | Georgianne Ashley Summer | Nurse Practitioner | 538 Roscoe Davis Rd Sw, Monroe, GA 30656-7915 | 2016-12-06 |
| 1790146744 | Katerina Listopad | Nurse Practitioner | 24 Grandview Trl, Monroe, NY 10950-6623 | 2016-03-17 |
| 1851750749 | Barbara A. Mahon | Nurse Practitioner | 19 Turnberry Ct, Monroe, NY 10950-5574 | 2016-02-19 |
| 1417171232 | Sheryl E Allbert | Nurse Practitioner | 16730 177th Ave Se, Monroe, WA 98272 | 2007-04-12 |
| 1710974969 | Kami Worley Wiedeman | Nurse Practitioner | 2516 Broadmoor Blvd, Monroe, LA 71201-2988 | 2005-10-03 |
| 1457875908 | Patricia Ann O'rourke | Nurse Practitioner | 1016 E Spring St, Monroe, GA 30655-2469 | 2017-07-26 |
| 1164944294 | Taisha S Davis | Nurse Practitioner | 855 State Route 17m, Monroe, NY 10950-1600 | 2017-07-11 |
| 1003365008 | Brittany Simpson | Nurse Practitioner | 515 22nd Ave, Monroe, WI 53566-1569 | 2016-10-02 |
| 1508314667 | Yunmi Choi | Nurse Practitioner | 324 Elm St, 202b, Monroe, CT 06468-2280 | 2016-09-19 |
| Find all providers in MONROE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.