IndividualActive
Tammy Mirkazemi
NPI 1003359696 · Nursing Home Administrator · Avondale, AZ
Provider details
- NPI number
- 1003359696
- Entity type
- Individual
- Primary specialty
- Nursing Home AdministratorNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- BH4966 (AZ)
Practice location
13039 W Cheery Lynn Rd
Avondale, AZ 85392-6775
Phone: (623) 326-7137
Mailing address
13039 W Cheery Lynn Rd
Avondale, AZ 85392-6775
Registry dates
- Enumerated
- 2016-11-30
- Last updated
- 2016-11-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.