Provider Demographics
NPI:1255648614
Name:MAZZARINO WILLETT, APRIL MARIE (ANP-BC)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:MARIE
Last Name:MAZZARINO WILLETT
Suffix:
Gender:F
Credentials:ANP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:251 CAMPGROUND RD
Mailing Address - Street 2:
Mailing Address - City:WEST END
Mailing Address - State:NC
Mailing Address - Zip Code:27376-8987
Mailing Address - Country:US
Mailing Address - Phone:910-715-6100
Mailing Address - Fax:
Practice Address - Street 1:251 CAMPGROUND RD
Practice Address - Street 2:
Practice Address - City:WEST END
Practice Address - State:NC
Practice Address - Zip Code:27376-8987
Practice Address - Country:US
Practice Address - Phone:910-715-6100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-07
Last Update Date:2019-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5008861207RH0002X
MA143173363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine