Provider Demographics
NPI:1376795997
Name:ZEVOLA, LAJENNEPHER ANN (CRNA)
Entity Type:Individual
Prefix:
First Name:LAJENNEPHER
Middle Name:ANN
Last Name:ZEVOLA
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:LAJENNEPHER
Other - Middle Name:ANN
Other - Last Name:ORISKOVICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:816 GREENHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:BETHEL PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15102-2281
Mailing Address - Country:US
Mailing Address - Phone:125-768-2404
Mailing Address - Fax:
Practice Address - Street 1:320 E NORTH AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212-4756
Practice Address - Country:US
Practice Address - Phone:412-359-6581
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-14
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN-508887-L367500000X
PARN508887L367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered