Provider Demographics
NPI:1477562189
Name:ZLOTO, JANIS M (DOM, CNM)
Entity Type:Individual
Prefix:DR
First Name:JANIS
Middle Name:M
Last Name:ZLOTO
Suffix:
Gender:F
Credentials:DOM, CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1013 TULANE DR NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87106-1928
Mailing Address - Country:US
Mailing Address - Phone:505-239-6297
Mailing Address - Fax:505-256-1284
Practice Address - Street 1:3420 CONSTITUTION NE,
Practice Address - Street 2:STE A
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87106-1238
Practice Address - Country:US
Practice Address - Phone:505-239-6297
Practice Address - Fax:505-256-1284
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMR51056163W00000X
NM488171100000X
NM92244R175M00000X
NM543176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163W00000XNursing Service ProvidersRegistered Nurse
Not Answered171100000XOther Service ProvidersAcupuncturist
Not Answered175M00000XOther Service ProvidersMidwife, Lay
Not Answered176B00000XOther Service ProvidersMidwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM11440Medicaid
NM00RH27OtherBLUE CROSS BLUE SHIELD #