Healthcare Provider Details

I. General information

NPI: 1952347874
Provider Name (Legal Business Name): ANGELA ZURENDA CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2006
Last Update Date: 04/06/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1199 MCDERMOTT DR BOX 5210
WEST CHESTER PA
19380-4042
US

IV. Provider business mailing address

PO BOX 5210
WEST CHESTER PA
19380-0405
US

V. Phone/Fax

Practice location:
  • Phone: 610-828-7893
  • Fax:
Mailing address:
  • Phone: 610-828-7893
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN226360L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: