Healthcare Provider Details

I. General information

NPI: 1831474089
Provider Name (Legal Business Name): NANCY ZITKO RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/19/2011
Last Update Date: 03/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5608 ANGELS LANDING AVE
LAS VEGAS NV
89131-2529
US

IV. Provider business mailing address

5608 ANGELS LANDING AVE
LAS VEGAS NV
89131-2529
US

V. Phone/Fax

Practice location:
  • Phone: 724-263-6404
  • Fax:
Mailing address:
  • Phone: 724-263-6404
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code173C00000X
TaxonomyReflexologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP028242L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: