Provider Demographics
NPI:1265908735
Name:ZURO, TAYLOR K (PA-C)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:K
Last Name:ZURO
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:TAYLOR
Other - Middle Name:K
Other - Last Name:TROZZI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:301 E 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:TARENTUM
Mailing Address - State:PA
Mailing Address - Zip Code:15084-1858
Mailing Address - Country:US
Mailing Address - Phone:724-224-3113
Mailing Address - Fax:
Practice Address - Street 1:301 E 1ST AVE
Practice Address - Street 2:
Practice Address - City:TARENTUM
Practice Address - State:PA
Practice Address - Zip Code:15084-1858
Practice Address - Country:US
Practice Address - Phone:724-224-3113
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-22
Last Update Date:2021-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA060306363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103582037Medicaid
14350999OtherCAQH