Basic Information
| Provider Information | |||||||||
| NPI: | 1255648614 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MAZZARINO WILLETT | ||||||||
| FirstName: | APRIL | ||||||||
| MiddleName: | MARIE | ||||||||
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| Credential: | ANP-BC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 251 CAMPGROUND RD | ||||||||
| Address2: | |||||||||
| City: | WEST END | ||||||||
| State: | NC | ||||||||
| PostalCode: | 273768987 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9107156100 | ||||||||
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| Practice Location | |||||||||
| Address1: | 251 CAMPGROUND RD | ||||||||
| Address2: | |||||||||
| City: | WEST END | ||||||||
| State: | NC | ||||||||
| PostalCode: | 273768987 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9107156100 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/07/2010 | ||||||||
| LastUpdateDate: | 02/28/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RH0002X | 5008861 | NC | N | Allopathic & Osteopathic Physicians | Internal Medicine | Hospice and Palliative Medicine |
No ID Information.