MEDICARE: FLORENCE ZILKO CRNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	95000661	CA
2	367500000X	Certified Registered Nurse Anesthetist	209035379	IL
3	163W00000X	Registered Nurse	712183	CA

General Provider Information

NPI Number	:	1700322849
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FLORENCE ZILKO CRNA

Provider Business Mailing Address
First Line	:	35745 SUSAN DR
Second Line	:
City	:	WILDOMAR
State	:	CA
Zip	:	92595-7106
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	35745 SUSAN DR
Second Line	:
City	:	WILDOMAR
State	:	CA
Zip	:	92595-7106
Country	:	US
Telephone Number	:	714-955-3579
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2017
Last Update Date	:	06/04/2026

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Directions to “ FLORENCE ZILKO CRNA” Practice Location

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