Individual
MS. MARY ANN ZORYCHTA
Active
Individual
MS. MARY ANN ZORYCHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
C01548
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159089001
—
AR
01
—
23477
STATE RN LICENSE
WV
01
—
5Y587
BCBS
AR
01
—
P00278593
RR MEDICARE GROUP CK6327
—
Enumeration date
10/13/2005
Last updated
03/28/2008
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