AUTUMN MAZZELLA
NPI 1891593760
Licensed Practical Nurse in Charleston, WV

Q: What is Autumn Mazzella's NPI number?

The NPI number for Autumn Mazzella is 1891593760. It was assigned to this individual provider in the NPPES registry on March 5, 2025.

Q: What is Autumn Mazzella's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Autumn Mazzella was last updated on March 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 05, 2025

900 VIRGINIA ST E STE 400, CHARLESTON, WV 25301(681) 313-4759 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Autumn Mazzella NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AUTUMN MAZZELLA (NPI 1891593760) is an individual licensed practical nurse in Charleston, West Virginia, licensed in West Virginia (39889) and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1891593760

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameAUTUMN MAZZELLA

Location Address900 VIRGINIA ST E STE 400Charleston, WV 25301-2835

Mailing Address3836 Sleepy Hollow DrHurricane, WV 25526-9148 · (304) 619-9489

Phone(681) 313-4759

Sole ProprietorYes

Enumeration DateMarch 5, 2025

NPPES CertifiedMarch 5, 2025

✔ NPI 1891593760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in WV · 39889

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

900 VIRGINIA ST E STE 400, Charleston, WV 25301

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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