Provider Demographics
NPI:1568711901
Name:MAZEI, ASHLEY JEANNE (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:JEANNE
Last Name:MAZEI
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:JEANNE
Other - Last Name:MADARANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:844 WASHINGTON ROAD
Mailing Address - Street 2:SUITE 207
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21157
Mailing Address - Country:US
Mailing Address - Phone:410-751-7246
Mailing Address - Fax:410-751-8991
Practice Address - Street 1:844 WASHINGTON ROAD, SUITE 207
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157
Practice Address - Country:US
Practice Address - Phone:410-751-7246
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-30
Last Update Date:2016-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR177762363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily