Provider Demographics
NPI:1730130204
Name:MAZZA, LORINDA M (RN PNP)
Entity type:Individual
Prefix:MRS
First Name:LORINDA
Middle Name:M
Last Name:MAZZA
Suffix:
Gender:F
Credentials:RN PNP
Other - Prefix:
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Mailing Address - Street 1:19079 RED HAWK WAY
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93908-1566
Mailing Address - Country:US
Mailing Address - Phone:831-424-3300
Mailing Address - Fax:831-758-4094
Practice Address - Street 1:30 GARDEN CT
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-5302
Practice Address - Country:US
Practice Address - Phone:831-646-8570
Practice Address - Fax:831-646-5435
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2013-10-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CARN316641/PNP459363LP0200X
CANPF459363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics