Provider Demographics
NPI:1023355666
Name:MAZUREK, MARIA BEATRICE
Entity type:Individual
Prefix:MS
First Name:MARIA
Middle Name:BEATRICE
Last Name:MAZUREK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 E SEWARD ST
Mailing Address - Street 2:
Mailing Address - City:SEWARD
Mailing Address - State:NE
Mailing Address - Zip Code:68434-2220
Mailing Address - Country:US
Mailing Address - Phone:402-499-3431
Mailing Address - Fax:
Practice Address - Street 1:459 S 6TH ST
Practice Address - Street 2:SUITE 1
Practice Address - City:SEWARD
Practice Address - State:NE
Practice Address - Zip Code:68434-2410
Practice Address - Country:US
Practice Address - Phone:402-643-3343
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-15
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator