Marilyn Alice Zitar

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

RN080467 Issued in AZ

Practice address

3045 S Canyon Rim
Mesa, AZ 85212-2134

Phone

(480) 984-3216

Fax

(480) 380-0105

NPI assigned

Jan 19, 2007

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 names 1

• Penny Zitar Other name

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": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871646208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6122 E COLBY ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852057553",
            "telephone_number": "480-396-4879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3045 S CANYON RIM",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852122134",
            "telephone_number": "480-984-3216",
            "fax_number": "480-380-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZITAR",
        "first_name": "MARILYN",
        "middle_name": "ALICE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AZ",
            "license": "RN080467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PENNY",
            "last_name": "ZITAR",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Anthony Ziolko, MS, LPC
• Zion'S RX Formulations (RX Formulations)
• William P Zipperer Jr., D.O.
• Madison Ziser
• Theodore Nmi Zislis, DDS
• Mark A Zitnik, DC
• Gail Sylvia Ziv, PSYNP
• Robert Zobel, DPM
• Emma Zobitz
• Sheila J Zollicoffer-Manley, NP

• School Registered Nurse in Mesa, AZ
• Providers in Mesa, AZ by specialty
• School Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.