MEDICARE: NAOMI MAZUR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	4508	NV

General Provider Information

NPI Number	:	1144152414
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAOMI MAZUR

Provider Business Mailing Address
First Line	:	1055 E TROPICANA AVE UNIT 344
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-6623
Country	:	US
Telephone Number	:	208-380-5332
Fax Number	:

Provider Business Practice Location Address
First Line	:	6210 W OAKEY BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-1103
Country	:	US
Telephone Number	:	702-870-7050
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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Directions to “ NAOMI MAZUR ” Practice Location

Language	Start Address	Practice Location

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