Provider Demographics
NPI:1609055987
Name:MARZELLA, NADIA RENEE (MS, RD, LDN)
Entity type:Individual
Prefix:MRS
First Name:NADIA
Middle Name:RENEE
Last Name:MARZELLA
Suffix:
Gender:F
Credentials:MS, RD, LDN
Other - Prefix:MISS
Other - First Name:NADIA
Other - Middle Name:RENEE
Other - Last Name:MARX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, RD, LDN
Mailing Address - Street 1:1624 SAHALE FALLS DR
Mailing Address - Street 2:
Mailing Address - City:BRASELTON
Mailing Address - State:GA
Mailing Address - Zip Code:30517-3441
Mailing Address - Country:US
Mailing Address - Phone:407-952-2871
Mailing Address - Fax:
Practice Address - Street 1:1624 SAHALE FALLS DR
Practice Address - Street 2:
Practice Address - City:BRASELTON
Practice Address - State:GA
Practice Address - Zip Code:30517-3441
Practice Address - Country:US
Practice Address - Phone:407-952-2871
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-02
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL4367133V00000X
SC2693133V00000X
890477133VN1005X
GALD004586133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133VN1005XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Renal