Provider Demographics
NPI:1295751790
Name:ZUNICH, SHERYL ANN (CRNA)
Entity type:Individual
Prefix:MS
First Name:SHERYL
Middle Name:ANN
Last Name:ZUNICH
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:MRS
Other - First Name:SHERYL
Other - Middle Name:ANN
Other - Last Name:WEBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:5 WISE FERRY CT
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29072-9538
Mailing Address - Country:US
Mailing Address - Phone:803-776-4000
Mailing Address - Fax:803-808-0744
Practice Address - Street 1:6439 GARNERS FERRY RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29209-1638
Practice Address - Country:US
Practice Address - Phone:803-776-4000
Practice Address - Fax:803-808-0744
Is Sole Proprietor?:No
Enumeration Date:2006-07-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2219367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered