Brenda M Zoltak, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R101670 Issued in MD

Practice address

7310 Ritchie Hwy
Suite 516
Glen Burnie, MD 21061-3065

Phone

(410) 761-7305

Fax

(410) 761-7387

NPI assigned

Dec 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236556800000",
    "number": "1780740464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7310 RITCHIE HWY",
            "address_2": "SUITE 516",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613065",
            "telephone_number": "410-761-7305",
            "fax_number": "410-761-7387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7310 RITCHIE HWY",
            "address_2": "SUITE 516",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613065",
            "telephone_number": "410-761-7305",
            "fax_number": "410-761-7387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOLTAK",
        "first_name": "BRENDA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2009-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R101670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita Zimmerman
• Susan Zimmerman, MD
• Taylor Garvey Zitnik, P.T.
• Emily F Zoelle, PHARM.D.
• Andrew S Zohlman, M.D.
• Henry Jay Zwally II, MD
• Allison Zweig, LCSW-C

• Nurse Practitioner in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; 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.