Provider Demographics
NPI:1154383107
Name:ZAKRZEWSKI, MARLENE (MARLENE YANIGLOS, NP)
Entity type:Individual
Prefix:MRS
First Name:MARLENE
Middle Name:
Last Name:ZAKRZEWSKI
Suffix:
Gender:F
Credentials:MARLENE YANIGLOS, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1407 MANGO COURT
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TEXAS
Mailing Address - Zip Code:78596
Mailing Address - Country:UM
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1407 MANGO CT
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-7056
Practice Address - Country:US
Practice Address - Phone:303-908-4518
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2013-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX255964363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics