Mrs Katelyn Suzanne Mazuch, CNM | |
4030 W Boy Scout Blvd Ste 800, Tampa, FL 33607-5713 | |
(813) 286-0033 | |
(813) 282-1806 |
Full Name | Mrs Katelyn Suzanne Mazuch |
---|---|
Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 4030 W Boy Scout Blvd Ste 800, Tampa, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770006108 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LW0102X | Nurse Practitioner - Women's Health | APRN11014793 (Florida) | Secondary |
367A00000X | Advanced Practice Midwife | APRN11014793 (Florida) | Primary |
Entity Name | Obstetricians & Gynecologists Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851371892 PECOS PAC ID: 1951312024 Enrollment ID: O20060606000166 |
Mailing Address | Practice Location Address |
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Mrs Katelyn Suzanne Mazuch, CNM Po Box 748817, Atlanta, GA 30374-8817 Ph: (813) 286-0033 | Mrs Katelyn Suzanne Mazuch, CNM 4030 W Boy Scout Blvd Ste 800, Tampa, FL 33607-5713 Ph: (813) 286-0033 |
Iliana Dole, ARNP/CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 4030 W Boy Scout Blvd Ste 800, Tampa, FL 33607 Phone: 813-286-0333 Fax: 813-282-1806 | |
Melinda Coca Adams, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 5 Tampa General Cir Ste 240, Tampa, FL 33606 Phone: 813-258-3309 Fax: 813-251-4454 | |
Lakieta Edwards Glass, C.N.M., W.H.N.P Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2 Tampa General Cir Fl 6, Tampa, FL 33606 Phone: 813-259-8527 | |
Nathan James Guerette, ARNP, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 2 Tampa General Cir, Stc 6th Floor, Tampa, FL 33606 Phone: 813-259-8500 | |
Melinda Mcrae, Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 5 Tampa General Cir Ste 240, Tampa, FL 33606 Phone: 813-258-3309 Fax: 813-251-4454 | |
Hshkeni Richemond, ARNP/CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 5 Tampa General Cir Ste 240, Tampa, FL 33606 Phone: 813-258-3309 Fax: 813-251-4454 | |
Patrice A Davis, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 2 Tampa General Cir, Tampa, FL 33606 Phone: 813-259-8500 |