Provider Demographics
NPI:1366959934
Name:WOZNIAK, MARIA LOUISE (QMHA)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:LOUISE
Last Name:WOZNIAK
Suffix:
Gender:F
Credentials:QMHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1922 MIMOSA CT
Mailing Address - Street 2:
Mailing Address - City:LAUGHLIN
Mailing Address - State:NV
Mailing Address - Zip Code:89029-1210
Mailing Address - Country:US
Mailing Address - Phone:507-213-6789
Mailing Address - Fax:
Practice Address - Street 1:4528 W CRAIG RD STE 110
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89032-2505
Practice Address - Country:US
Practice Address - Phone:702-299-2017
Practice Address - Fax:702-299-2018
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-04
Last Update Date:2018-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health