Healthcare Provider Details
I. General information
NPI: 1780398750
Provider Name (Legal Business Name): KAREN M ZARAGOZA-AYALA CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 01/13/2023
Last Update Date: 06/18/2025
Certification Date: 06/18/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2150 W CENTRAL AVE STE D
TOLEDO OH
43606-3859
US
IV. Provider business mailing address
5144 N HIGH ST APT 213
COLUMBUS OH
43214-1547
US
V. Phone/Fax
- Phone: 419-291-2192
- Fax:
- Phone: 213-304-6546
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WM0102X |
| Taxonomy | Maternal Newborn Registered Nurse |
| License Number | RN.501319 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 367A00000X |
| Taxonomy | Advanced Practice Midwife |
| License Number | APRN.CNM.0019598 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: