Healthcare Provider Details

I. General information

NPI: 1851472476
Provider Name (Legal Business Name): ANTHONY LLOYD ZURN CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/18/2006
Last Update Date: 07/23/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

142 S MAIN ST
DANVILLE VA
24541
US

IV. Provider business mailing address

917 HARPER RD
DRY FORK VA
24549-5205
US

V. Phone/Fax

Practice location:
  • Phone: 343-799-2226
  • Fax:
Mailing address:
  • Phone: 434-724-3363
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number0001058715
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number0024058715
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: