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

Individual provider Nursing Home Administrator · NPI 1003359696

Tammy Mirkazemi is a Nursing Home Administrator in Avondale, Arizona. Practices as a sole proprietor. Licensed in Arizona.

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

13039 W Cheery Lynn Rd
Avondale, AZ 85392-6775
Phone: (623) 326-7137
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Specialties & licences

Nursing Home Administrator (primary) Taxonomy 376G00000X · Licence BH4966 (AZ)

Record details

NPI number1003359696
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 30, 2016
Last updated in NPPESNovember 30, 2016
Mailing address13039 W Cheery Lynn Rd, Avondale, AZ 85392-6775

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