MEDICARE: TERESA ZUZALEK RN

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
1	163WG0000X	General Practice Registered Nurse	268025	CA

General Provider Information

NPI Number	:	1952924144
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERESA ZUZALEK RN

Provider Business Mailing Address
First Line	:	5163 VIA VALVERDE
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93111-2917
Country	:	US
Telephone Number	:	808-343-5039
Fax Number	:	805-679-5600

Provider Business Practice Location Address
First Line	:	5163 VIA VALVERDE
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93111-2917
Country	:	US
Telephone Number	:	808-343-5039
Fax Number	:	805-679-5600

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2020
Last Update Date	:	05/21/2020

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