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NPI Code Detail

MEDICARE: MRS. VICKIE THERESA ZYLA CRNFA

MEDICARE: MRS. VICKIE THERESA ZYLA CRNFA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WR0006XRegistered Nurse First AssistantRO83872MD

General Provider Information

NPI Number : 1235226200
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. VICKIE THERESA ZYLA CRNFA
Provider Business Mailing Address
First Line : 2910 ANDERSON RD
Second Line :
City : WHITE HALL
State : MD
Zip : 21161-9021
Country : US
Telephone Number : 410-878-2463
Fax Number :
Provider Business Practice Location Address
First Line : 2910 ANDERSON RD
Second Line :
City : WHITE HALL
State : MD
Zip : 21161-9021
Country : US
Telephone Number : 410-878-2463
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2006
Last Update Date : 07/08/2007

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