Kyle Mazurowski
Nurse's Aide in Scottsdale, AZ. Individual provider (NPI-1).
NPI number1104660554
StatusActive
Last updated in NPPESJun 20, 2024
Details
- NPI
- 1104660554
- Entity type
- Individual (NPI-1)
- Name
- Kyle Mazurowski
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 20, 2024
- Certification date
- Jun 20, 2024
- Last updated
- Jun 20, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376K00000X | Nurse's Aide | 274375 | AZ | Yes |
Practice location
8850 E Pima Center PkwyScottsdale, AZ 85258-4619
Phone 480-800-3900
Mailing address
14849 N Kings Way Unit 223Fountain Hills, AZ 85268-2974
Phone 480-387-9721
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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