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

Individual provider Registered Dietetic Technician · NPI 1609237379

Shannon Mazzei is a Registered Dietetic Technician in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2016.

Licensed in
PA
In the registry since
2016
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Practice location Address checks out

475 Spring Ln
Philadelphia, PA 19128-3918
Phone: (215) 482-5353
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietetic Technician (primary) Taxonomy 136A00000X · Licence 966008 (PA)

Record details

NPI number1609237379
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 9, 2016
Last updated in NPPESMarch 9, 2016

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