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NPI Code Detail

MEDICARE: MEGAN ELIZABETH MAZER CRNP

MEDICARE: MEGAN ELIZABETH MAZER CRNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerSP028909PA

General Provider Information

NPI Number : 1245003409
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN ELIZABETH MAZER CRNP
Provider Business Mailing Address
First Line : PO BOX 13579
Second Line :
City : READING
State : PA
Zip : 19612-3579
Country : US
Telephone Number : 484-628-1324
Fax Number :
Provider Business Practice Location Address
First Line : 160 E ERIE AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19134-1011
Country : US
Telephone Number : 215-427-5985
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2023
Last Update Date : 03/12/2026

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