Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Autumn Mazzulla

Individual provider Other Technician · NPI 1336633825

Autumn Mazzulla is an Other Technician in Fargo, North Dakota. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2

Practice location Address checks out

2624 9th Ave S
Fargo, ND 58103
Phone: (701) 298-4500
Fax: (701) 298-4400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Other Technician Taxonomy 247200000X

Record details

NPI number1336633825
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 18, 2018
Last updated in NPPESJune 18, 2018
Mailing address2624 9th Ave S, Fargo, ND 58103-2350

Other providers in Fargo