Healthcare Provider Details

I. General information

NPI: 1487015095
Provider Name (Legal Business Name): STEVEN ZORNAK JR. CRNA, DNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/09/2016
Last Update Date: 04/29/2025
Certification Date: 04/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

640 S STATE ST
DOVER DE
19901-3530
US

IV. Provider business mailing address

627 POWHATAN BEACH RD
PASADENA MD
21122-1105
US

V. Phone/Fax

Practice location:
  • Phone: 302-674-4700
  • Fax: 302-430-5507
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberL6-0A10976
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code367H00000X
TaxonomyAnesthesiologist Assistant
License NumberL6-0A10976
License Number StateDE
# 3
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberR191290
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: