Provider Demographics
NPI:1710110879
Name:ZAYA, ANTHONY MCILVOY (RN)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:MCILVOY
Last Name:ZAYA
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4428 ASHLAND AVE. #B
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45212-3127
Mailing Address - Country:US
Mailing Address - Phone:513-550-1747
Mailing Address - Fax:
Practice Address - Street 1:4428 ASHLAND AVE # B
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45212-3258
Practice Address - Country:US
Practice Address - Phone:513-550-1747
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-24
Last Update Date:2009-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPENDING 9/09163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine