| NPI | 1053074021 |
|---|---|
| Former Name | STEPHANIE MAZANEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209034803) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP61214945) |
| Enumeration Date | 2021-10-18 |
| Last Update Date | 2026-04-30 |