Jeananne Mazzolini , RT (R) (M)
Radiologic Technologist • Clovis, NM
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jeananne Mazzolini has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Jeananne Mazzolini, RT (R) (M) was a registered Radiologic Technologist practicing in Clovis, NM. Throughout an active medical career spanning 15 years, Jeananne Mazzolini provided care at the practice location at 2105 WEST 21ST STREET until profile deactivation on 2024-11-15.
Practice Location & Contact Primary Location
2105 West 21st Street
Suite A
Clovis, NM 881014086
Specialty Benchmarks & Practice Insights
Comparative analytics for Radiologic Technologist in Clovis, NM
Practicing in Clovis, NM (16 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 247100000X
A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on November 15, 2024
NPI status registered as active in NPPES database
Registered at 2105 WEST 21ST STREET, SUITE A, CLOVIS, NM 881014086 (Tel: 5756933770)
Registered at PO BOX 5066, CLOVIS, NM 881025066 (Tel: 5756933770)
Recorded as JEANANNE MAZZOLINI, RT (R) (M)
Radiologic Technologist (License #RRT 1505 in NM)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
Po Box 5066
Clovis, NM 881025066
Phone: 5756933770
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