National Provider Identifier

Katelyn Elizabeth Mazgaj, NP

Katelyn Elizabeth Mazgaj, NP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Buffalo, NY and a listed phone number of (716) 898-3000.

NPI 1760018287Buffalo, NYFamily Nurse Practitioner

Profile Overview

NPI
1760018287
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
March 16, 2020
Last Updated
March 16, 2020

Practice Location

  • 462 Grider St
  • Buffalo, NY 14215-3021

Phone: (716) 898-3000

Specialties

  • Family Nurse Practitioner (363LF0000X)
Full Record
NPI
1760018287
Entity Type
Individual
Last Name
Mazgaj
First Name
Katelyn
Middle Name
Elizabeth
Name Prefix
Miss
Credential
NP
Provider Other Last Name
Mazgaj
Provider Other First Name
Katelyn
Provider Other Middle Name
E
Provider Other Credential Text
NP
Provider Other Last Name Type Code
2
Mailing Street Address
462 Grider St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14215-3021
Mailing Country
US
Practice Street Address
462 Grider St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14215-3021
Practice Country
US
Practice Phone
(716) 898-3000
Enumeration Date
March 16, 2020
Last Updated
March 16, 2020
Sex
Female
Sole Proprietor
No
Certification Date
March 16, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Nurse Practitioner (363LF0000X)