Individual provider · Type 1 NPI
Tammy Mirkazemi
Nursing Home Administrator · Avondale, AZ
NPI number
1003359696
Active
Practice location
13039 W Cheery Lynn Rd
Avondale, AZ 85392-6775
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nursing Home Administrator Primary | 376G00000X | BH4966 (AZ) |
Nursing Home Administrator: An individual, often licensed by the state, who is responsible for the management of a nursing home.
About NPI 1003359696
Tammy Mirkazemi's National Provider Identifier is 1003359696, issued on Nov 30, 2016. The primary taxonomy on file is Nursing Home Administrator (376G00000X), and the practice location is in Avondale, AZ. The record was last updated on Nov 30, 2016.