Healthcare Provider Details

I. General information

NPI: 1114685393
Provider Name (Legal Business Name): CATHERINE ELIZABETH ZOTOVICH DNP, APRN FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/03/2021
Last Update Date: 11/07/2024
Certification Date: 11/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13869 W BELL RD
SURPRISE AZ
85374-2468
US

IV. Provider business mailing address

13869 W BELL RD STE 103B
SURPRISE AZ
85374-2468
US

V. Phone/Fax

Practice location:
  • Phone: 623-600-4466
  • Fax:
Mailing address:
  • Phone: 623-600-4466
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number05028016230
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: