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Shere Lynn Mazur, RN
Emergency Registered Nurse in Fort Wayne, Indiana
NPI 1366171506

Shere Lynn Mazur is a Emergency Registered Nurse based in Fort Wayne, IN and is specialized in Emergency. Shere Lynn Mazur practices in Fort Wayne, IN and has the professional credentials of RN. The NPI Number for Shere Lynn Mazur is 1366171506 and holds a License No. 28106785A (Indiana).

The current practice location address for Shere Lynn Mazur is 2121 Lake Ave, Fort Wayne, IN and can be reached out via phone at 260-460-1347.

Location: 2121 Lake Ave, Fort Wayne, IN, 46805-5100
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366171506
Provider Name
Shere Lynn Mazur
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
2121 Lake Ave, Fort Wayne, IN, 46805-5100
Phone Number
260-460-1347
Fax Number
Provider Enumeration Date
06/05/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
28106785A 01 IN REGISTERED NURSE
institution
Provider Business Practice Location Address Details
Address
2121 Lake Ave
City
Fort Wayne
State
Indiana
Zip
46805-5100
Phone Number
260-460-1347
Fax Number
person
Provider Business Mailing Address Details
Address
2121 Lake Ave
City
Fort Wayne
State
Indiana
Zip
46805-5100
Phone Number
260-460-1347
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Emergency
Taxonomy
163WE0003X
License No.
28106785A (Indiana)
Definition
Definition to come...
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