Provider Demographics
NPI:1306987508
Name:MAZUR, NANCY ANN (ND)
Entity type:Individual
Prefix:DR
First Name:NANCY
Middle Name:ANN
Last Name:MAZUR
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4335
Mailing Address - Street 2:1448 SIERRA DE RONDA
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92263-4335
Mailing Address - Country:US
Mailing Address - Phone:860-614-6829
Mailing Address - Fax:
Practice Address - Street 1:1448 SIERRA DE RONDA
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92264-9524
Practice Address - Country:US
Practice Address - Phone:860-614-6829
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND-223175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath