Provider Demographics
NPI:1477748994
Name:LIZANEC, MARIA G (RN)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:G
Last Name:LIZANEC
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 W MORNINGSIDE DR
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85023-2341
Mailing Address - Country:US
Mailing Address - Phone:602-467-6310
Mailing Address - Fax:602-467-6380
Practice Address - Street 1:2020 W MORNINGSIDE DR
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85023-2341
Practice Address - Country:US
Practice Address - Phone:602-467-6310
Practice Address - Fax:602-467-6380
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-07
Last Update Date:2007-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN 044451163W00000X, 163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool
No163W00000XNursing Service ProvidersRegistered Nurse