CATHERINE MARIE MAZENKO
NPI 1225845365
Registered Nurse - Critical Care Medicine in Plymouth, MI
Active since December 12, 2024
About Catherine Marie Mazenko NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CATHERINE MARIE MAZENKO (NPI 1225845365) is an individual critical care medicine provider in Plymouth, Michigan, licensed in Washington (RN61111956) and active in the NPI registry since December 2024.
NPPES Registry Identity
NPI1225845365
Entity TypeIndividualFemale
Primary Taxonomy163WC0200X
Provider Legal NameCATHERINE MARIE MAZENKO
Location Address45211 HELM STPlymouth, MI 48170-6023
Mailing Address45211 Helm StPlymouth, MI 48170-6023 · (734) 525-9712
Phone(734) 525-9712
Sole ProprietorNo
Enumeration DateDecember 12, 2024
NPPES CertifiedDecember 12, 2024
✔ NPI 1225845365 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Critical Care MedicineNursing Service Providers
Taxonomy Code163WC0200X
License✔ Licensed in WA · RN61111956
45211 HELM ST, Plymouth, MI 48170
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225845365, enumerated as an "individual" on December 12, 2024.
The provider is located at 45211 HELM ST PLYMOUTH, MI 48170 and the phone number is (734) 525-9712.
Registered Nurse with taxonomy code 163WC0200X and a focus in Critical Care Medicine.
