Provider Demographics
NPI:1164779963
Name:AHN, SYLVIA Y (RN)
Entity Type:Individual
Prefix:
First Name:SYLVIA
Middle Name:Y
Last Name:AHN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 278422
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95827-8422
Mailing Address - Country:US
Mailing Address - Phone:805-233-4741
Mailing Address - Fax:
Practice Address - Street 1:HWY191 HOSPITAL TURNOFF
Practice Address - Street 2:
Practice Address - City:CHINLE
Practice Address - State:AZ
Practice Address - Zip Code:86503-5748
Practice Address - Country:US
Practice Address - Phone:928-674-7011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-10
Last Update Date:2014-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA734702163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse