Provider Demographics
NPI:1578330767
Name:ZITO, DESIREE (CD, PCD, CCE, LE)
Entity Type:Individual
Prefix:
First Name:DESIREE
Middle Name:
Last Name:ZITO
Suffix:
Gender:F
Credentials:CD, PCD, CCE, LE
Other - Prefix:
Other - First Name:DESIREE
Other - Middle Name:
Other - Last Name:OLIVERI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:60074 ZIMMERMAN SPUR UNIT 2
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76544-1655
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:60074 ZIMMERMAN SPUR UNIT 2
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76544-1655
Practice Address - Country:US
Practice Address - Phone:254-281-2822
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-07
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula