Provider Demographics
NPI:1609055987
Name:MARZELLA, NADIA RENEE (MS, RD, LDN)
Entity Type:Individual
Prefix:MRS
First Name:NADIA
Middle Name:RENEE
Last Name:MARZELLA
Suffix:
Gender:F
Credentials:MS, RD, LDN
Other - Prefix:MISS
Other - First Name:NADIA
Other - Middle Name:RENEE
Other - Last Name:MARX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, RD, LDN
Mailing Address - Street 1:100 MILK ST
Mailing Address - Street 2:
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844-4600
Mailing Address - Country:US
Mailing Address - Phone:978-686-9900
Mailing Address - Fax:978-688-7533
Practice Address - Street 1:100 MILK ST
Practice Address - Street 2:
Practice Address - City:METHUEN
Practice Address - State:MA
Practice Address - Zip Code:01844-4600
Practice Address - Country:US
Practice Address - Phone:978-686-9900
Practice Address - Fax:978-688-7533
Is Sole Proprietor?:No
Enumeration Date:2007-11-02
Last Update Date:2012-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3315133VN1005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1005XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Renal