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NPI Code Detail

MEDICARE: TAMMY MAZURE NUTRITIONIST

MEDICARE:   TAMMY  MAZURE  NUTRITIONIST
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
1133N00000XNutritionist

General Provider Information

NPI Number : 1710843636
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMMY MAZURE NUTRITIONIST
Provider Business Mailing Address
First Line : 4506 MAPLECREST AVE
Second Line :
City : PARMA
State : OH
Zip : 44134-3530
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4506 MAPLECREST AVE
Second Line :
City : PARMA
State : OH
Zip : 44134-3530
Country : US
Telephone Number : 216-255-4403
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2026
Last Update Date : 01/05/2026

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Directions to “ TAMMY MAZURE NUTRITIONIST” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.