Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CARMINE MAZZUCA, ACNPC-AG
Active Sole ProprietorCARMINE MAZZUCA, ACNPC-AG is a Critical Care Nurse Practitioner healthcare provider located in SAULT SAINTE MARIE, Michigan. NPI 1003605064 is currently active in the NPPES registry. Verify at CMS.
Critical Care Nurse Practitioner · SAULT SAINTE MARIE, MI
Registration Details
- NPI Number
- 1003605064
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 5, 2025 (1.2349873783895 yrs)
- Last Updated
- Oct 2, 2025
- License
-
4704214883 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
500 OSBORN BLVDSAULT SAINTE MARIE, MI, 497831822Browse MI providers · Browse ZIP 49783
- Phone
- 9066354460
- Primary Specialty
-
Critical Care Nurse Practitioner
363LC0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.