Provider Demographics
NPI:1184046500
Name:ZALOT, COREEN ANN
Entity type:Individual
Prefix:
First Name:COREEN
Middle Name:ANN
Last Name:ZALOT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3313 N 68TH ST
Mailing Address - Street 2:#240E
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-6208
Mailing Address - Country:US
Mailing Address - Phone:602-367-0221
Mailing Address - Fax:
Practice Address - Street 1:3313 N 68TH ST
Practice Address - Street 2:#240E
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-6208
Practice Address - Country:US
Practice Address - Phone:602-367-0221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-21
Last Update Date:2014-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLP049560164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse