Provider Demographics
NPI:1164151551
Name:ZUO, BRYNNE ALEXANDREA (CD(DONA))
Entity Type:Individual
Prefix:
First Name:BRYNNE
Middle Name:ALEXANDREA
Last Name:ZUO
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:LEXI
Other - Middle Name:
Other - Last Name:ZUO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CD(DONA)
Mailing Address - Street 1:800 BELLEVUE AVE
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60120-3002
Mailing Address - Country:US
Mailing Address - Phone:224-659-3922
Mailing Address - Fax:
Practice Address - Street 1:800 BELLEVUE AVE
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60120-3002
Practice Address - Country:US
Practice Address - Phone:224-659-3922
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-09
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty