MARK MAZENKO NPI 1659075802

NPI Information

NPI: 1659075802
Provider Name: MARK MAZENKO
Classification: Technician/Technologist - 156F00000X
Entity Type: Individual
Address:
600 ROTHWOOD AVE APT B9
MADISON, TN
ZIP 37115
Phone: (256) 527-8721
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Mark Mazenko is a technician technologist in Madison, TN. The provider is a broad category grouping different kinds of technologists and technicians. See individual definitions. Mark Mazenko NPI is 1659075802. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

600 ROTHWOOD AVE APT B9
MADISON, TN
ZIP 37115-936
Phone: (256) 527-8721

The enumeration date for this NPI number is 3/29/2023 and was last updated on 3/29/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	156F00000X	Technician/Technologist				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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