Individual
TODD P ZETS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
500 S CLEVELAND AVE, ST. ANN'S HOSPITAL COA-CRED, WESTERVILLE, OH 43081-8971
(614) 898-6659
(614) 898-8631
Mailing address
PO BOX 20452, COA-CRED, COLUMBUS, OH 43220-0452
(614) 442-2406
(614) 442-2410
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
COA.05999-NA
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000215925
ANTHEM
—
05
—
2213018
—
OH
01
—
430067951
MEDICARE RAILROAD
—
Enumeration date
10/12/2006
Last updated
08/17/2018
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