National Provider Identifier

Melisa Carroll Mazzara, RN

Melisa Carroll Mazzara, RN is listed in the NPPES registry with a primary specialty of Registered Nurse in Sanborn, NY and a listed phone number of (716) 731-1523.

NPI 1245430982Sanborn, NYRegistered Nurse

Profile Overview

NPI
1245430982
Provider Type
Individual
Primary Specialty
Registered Nurse
Enumeration Date
July 20, 2007
Last Updated
July 20, 2007

Practice Location

  • 4958 Baer RD
  • Sanborn, NY 14132-9425

Phone: (716) 731-1523

Mailing Address

  • 6736 Campbell Blvd
  • Lockport, NY 14094-9285

Specialties

  • Registered Nurse (163W00000X)
Full Record
NPI
1245430982
Entity Type
Individual
Last Name
Mazzara
First Name
Melisa
Middle Name
Carroll
Name Prefix
Mrs.
Credential
RN
Mailing Street Address
6736 Campbell Blvd
Mailing City
Lockport
Mailing State
NY
Mailing ZIP Code
14094-9285
Mailing Country
US
Mailing Phone
(716) 625-6232
Practice Street Address
4958 Baer RD
Practice City
Sanborn
Practice State
NY
Practice ZIP Code
14132-9425
Practice Country
US
Practice Phone
(716) 731-1523
Enumeration Date
July 20, 2007
Last Updated
July 20, 2007
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Nurse (163W00000X)
Other Identifiers
02592698 (NY)