Healthcare Provider Details

I. General information

NPI: 1942607270
Provider Name (Legal Business Name): JEANETTE ZARRELLA ESCARFULLER CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JEANETTE MARIE ZARRELLA CRNA

II. Dates (important events)

Enumeration Date: 12/02/2014
Last Update Date: 03/08/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34TH STREET AND CIVIC CENTER BOULEVARD SUITE 9329
PHILADELPHIA PA
19104-4399
US

IV. Provider business mailing address

100 E PENN SQ THE WANAMAKER BUILDING, 9TH FLOOR, NORTH
PHILADELPHIA PA
19107-3323
US

V. Phone/Fax

Practice location:
  • Phone: 215-590-1858
  • Fax:
Mailing address:
  • Phone: 267-425-9300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN574295
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: