Provider Demographics
NPI:1538260047
Name:MAZIARSKI, FRANK T (CRNA)
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:T
Last Name:MAZIARSKI
Suffix:
Gender:
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2328 N 186TH ST
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-4200
Mailing Address - Country:US
Mailing Address - Phone:205-364-7980
Mailing Address - Fax:206-367-2916
Practice Address - Street 1:2328 N 186TH ST
Practice Address - Street 2:
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98133-4200
Practice Address - Country:US
Practice Address - Phone:205-364-7980
Practice Address - Fax:206-367-2916
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2025-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00091107367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9626003Medicaid
WAR56226Medicare UPIN