Provider Demographics
NPI:1457129181
Name:GRAZIONE, TANYA ESTELLE (CD)
Entity Type:Individual
Prefix:
First Name:TANYA
Middle Name:ESTELLE
Last Name:GRAZIONE
Suffix:
Gender:F
Credentials:CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2709 WILSON CIR
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33548-4924
Mailing Address - Country:US
Mailing Address - Phone:727-417-5961
Mailing Address - Fax:
Practice Address - Street 1:2709 WILSON CIR
Practice Address - Street 2:
Practice Address - City:LUTZ
Practice Address - State:FL
Practice Address - Zip Code:33548-4924
Practice Address - Country:US
Practice Address - Phone:727-417-5961
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-12
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula