Provider Demographics
NPI:1467893735
Name:ZUCCO, SYLVIA ANN (CRNA)
Entity Type:Individual
Prefix:MRS
First Name:SYLVIA
Middle Name:ANN
Last Name:ZUCCO
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2000 E LAMAR BLVD STE 400
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76006-7353
Mailing Address - Country:US
Mailing Address - Phone:682-227-6884
Mailing Address - Fax:682-227-6609
Practice Address - Street 1:100 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OH
Practice Address - Zip Code:45504-2687
Practice Address - Country:US
Practice Address - Phone:937-523-1000
Practice Address - Fax:937-523-5978
Is Sole Proprietor?:No
Enumeration Date:2013-07-15
Last Update Date:2019-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CRNA.14744367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered