MEDICARE: BRITTANY MAZEJKO

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
1	363L00000X	Nurse Practitioner	RN.375280	OH

General Provider Information

NPI Number	:	1518514926
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY MAZEJKO

Provider Business Mailing Address
First Line	:	1745 NILES CORTLAND RD NE
Second Line	:
City	:	WARREN
State	:	OH
Zip	:	44484-6046
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1745 NILES CORTLAND RD NE
Second Line	:
City	:	WARREN
State	:	OH
Zip	:	44484-6046
Country	:	US
Telephone Number	:	330-856-8600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/20/2019
Last Update Date	:	08/20/2019

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Directions to “ BRITTANY MAZEJKO ” Practice Location

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