Provider Demographics
NPI:1841739745
Name:ZARO, MAREN LOTHYAN (ARNP)
Entity Type:Individual
Prefix:
First Name:MAREN
Middle Name:LOTHYAN
Last Name:ZARO
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:MAREN
Other - Middle Name:
Other - Last Name:LOTHYAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1 LINCOLN ST FL 24
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02111-2901
Mailing Address - Country:US
Mailing Address - Phone:617-454-4672
Mailing Address - Fax:
Practice Address - Street 1:5006 CENTER ST STE R
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98409-2314
Practice Address - Country:US
Practice Address - Phone:253-275-0200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-13
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00155267163W00000X
WAAP60710531363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse