Healthcare Provider Details

I. General information

NPI: 1629618467
Provider Name (Legal Business Name): RACHEL ANN CSERNIK CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. RACHEL ANN ROSCOE

II. Dates (important events)

Enumeration Date: 01/09/2020
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2951 MAPLE AVE
ZANESVILLE OH
43701
US

IV. Provider business mailing address

2951 MAPLE AVE
ZANESVILLE OH
43701-1406
US

V. Phone/Fax

Practice location:
  • Phone: 740-450-6148
  • Fax: 330-286-5396
Mailing address:
  • Phone: 740-450-6148
  • Fax: 330-286-5396

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.403020
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAPRN.CRNA.020003
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: