Provider Demographics
NPI:1922587385
Name:NAKAZZI, EVA RACHEL
Entity Type:Individual
Prefix:
First Name:EVA
Middle Name:RACHEL
Last Name:NAKAZZI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9632 51ST PL
Mailing Address - Street 2:
Mailing Address - City:COLLEGE PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20740-4543
Mailing Address - Country:US
Mailing Address - Phone:202-378-6429
Mailing Address - Fax:
Practice Address - Street 1:9632 51ST PL
Practice Address - Street 2:
Practice Address - City:COLLEGE PARK
Practice Address - State:MD
Practice Address - Zip Code:20740-4543
Practice Address - Country:US
Practice Address - Phone:202-378-6429
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-07
Last Update Date:2018-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide