NPI 1194426395

Katy Jane Mazza, PAC

Practitioner Physician Assistant Glenwood Springs, CO

Practice location

Address: 1830 Blake Ave STE 102, Glenwood Springs, CO 81601-4275
Phone: (970) 945-8503

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA.0007849 (CO)

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Registry record

NPI: 1194426395
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Mar 2023
Record last updated: 14 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.