GLENDA MAZZA (NPI# 1841470242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841470242 |
| Entity Type | Individual |
| Full Name | GLENDA MAZZA |
| Credential | LPN |
| Practice Address |
17 Lakeside Dr Bridgeton NJ 08302-3914 |
| Practice Telephone | 8009506066 |
| Mailing Telephone | 8009506066 |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2007-11-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 26NP02764500 | NJ | Nursing Service Providers |
| Street Address |
17 LAKESIDE DR |
| City | BRIDGETON |
| State | NJ |
| Zip Code | 08302-3914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508390196 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10 Northwest Drive, Bridgeton, NJ 08302 | 2017-04-20 |
| 1124552716 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 198 Roadstown Road, Bridgeton, NJ 08302 | 2017-04-20 |
| 1861926453 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 555 Burlington Road, Bridgeton, NJ 08302 | 2017-04-20 |
| 1306370994 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 92 Princeton Avenue, Bridgeton, NJ 08302 | 2017-04-20 |
| 1205360245 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 50 Roberts Avenue, Bridgeton, NJ 08302 | 2017-04-17 |
| 1649704602 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 28 West Park Drive, Bridgeton, NJ 08302 | 2017-04-17 |
| 1871043299 | Leah Sadler | Counselor | 90 S Burlington Rd, 189, Bridgeton, NJ 08302 | 2016-10-10 |
| 1245695428 | Bkt High Quality Healthcare Agency LLC | Home Health | 6 South Laurel St., 2nd Floor, Bridgeton, NJ 08302 | 2015-12-15 |
| 1073986493 | Caringhouse Projects, Inc | Respite Care | 1040 Laurel Lane, Deerfield Township, NJ 08302 | 2015-11-06 |
| 1174903256 | Christopher Struby | Internal Medicine | 201 Laurel Heights Dr # 201, Bridgeton, NJ 08302 | 2015-06-04 |
| Find all providers in zip 08302 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual 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. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477901312 | Catherine Marie Krawiec | Licensed Practical Nurse | 30 Sheppard Dr, Bridgeton, NJ 08302-3858 | 2016-06-01 |
| 1841527074 | Janet Ford | Licensed Practical Nurse | 28 Lakeview Ave, Bridgeton, NJ 08302-1720 | 2009-11-09 |
| 1851532436 | Kathy Busnardo | Licensed Practical Nurse | 890 N Pearl St, Bridgeton, NJ 08302-1213 | 2009-03-12 |
| 1063667962 | Korea Corley | Licensed Practical Nurse | 5 Longview Dr, Bridgeton, NJ 08302-4417 | 2008-11-20 |
| 1124271424 | Nicole Lane | Licensed Practical Nurse | 86 Dare Ave, Bridgeton, NJ 08302-2277 | 2008-10-30 |
| 1710130109 | Essence Williams | Licensed Practical Nurse | 194 Clarks Pond Rd, Bridgeton, NJ 08302-7174 | 2008-10-29 |
| 1598918047 | Tammy Grady | Licensed Practical Nurse | 27 Orilla Dr, Bridgeton, NJ 08302-4320 | 2008-10-28 |
| 1689823759 | Jennifer Cheesman | Licensed Practical Nurse | 4 Swallow Ln, Bridgeton, NJ 08302-3609 | 2008-09-15 |
| 1508015678 | Pamela Byrd | Licensed Practical Nurse | 362 Fairton Gouldtown Rd, Bridgeton, NJ 08302-7106 | 2008-09-15 |
| 1073782280 | Andrea Mccoy | Licensed Practical Nurse | 14 Northville Rd, Bridgeton, NJ 08302-5926 | 2008-02-22 |
| Find all providers in BRIDGETON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.