Provider Demographics
NPI:1922209816
Name:TUCH, SYLVIA (CRNA)
Entity Type:Individual
Prefix:
First Name:SYLVIA
Middle Name:
Last Name:TUCH
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:SYLVIA
Other - Middle Name:
Other - Last Name:KEARNEY-TUCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9961 SIERRA AVE
Mailing Address - Street 2:
Mailing Address - City:FONTANA
Mailing Address - State:CA
Mailing Address - Zip Code:92335-6720
Mailing Address - Country:US
Mailing Address - Phone:909-427-7162
Mailing Address - Fax:
Practice Address - Street 1:28133 ARBON LN
Practice Address - Street 2:
Practice Address - City:BLUE JAY
Practice Address - State:CA
Practice Address - Zip Code:92317-2009
Practice Address - Country:US
Practice Address - Phone:909-427-7162
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2011-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANA406367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered