Provider Demographics
NPI:1194430678
Name:MAYER, SYDNEY LEANN (MS)
Entity type:Individual
Prefix:
First Name:SYDNEY
Middle Name:LEANN
Last Name:MAYER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95 SEABOARD LN
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-3031
Mailing Address - Country:US
Mailing Address - Phone:615-261-1210
Mailing Address - Fax:615-261-1222
Practice Address - Street 1:95 SEABOARD LN
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-3031
Practice Address - Country:US
Practice Address - Phone:615-261-1210
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-18
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist