Marilyn Orlova-Zitzer IV, FNP, CRNFA

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP13143 Issued in CA

Practice address

14 Presidio CT
Corte Madera, CA 94925-2066

Phone

(415) 453-3220

Fax

(415) 453-3220

NPI assigned

Jun 14, 2005

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343606400000",
    "number": "1114922465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 612",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949770612",
            "telephone_number": "415-453-3220",
            "fax_number": "415-453-3220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 PRESIDIO CT",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949252066",
            "telephone_number": "415-453-3220",
            "fax_number": "415-453-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORLOVA-ZITZER",
        "first_name": "MARILYN",
        "name_suffix": "IV",
        "credential": "FNP, CRNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-14",
        "last_updated": "2012-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP13143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "NP0131431",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP0131430",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Corte Madera, CA
• Providers in Corte Madera, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.