Individual
CANDIA S ZLENKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4147 WESTFORD DR, CANFIELD, OH 44406-8086
(330) 702-1489
(330) 702-1545
Mailing address
4135 BOARDMAN CANFIELD RD, SUITE 101, CANFIELD, OH 44406-9803
(330) 286-5330
(330) 286-5396
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN222945
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0382143
—
OH
01
—
8216518
MEDICARE PTAN
OH
01
—
P00400904
MEDICARE RAILROAD
OH
Enumeration date
05/17/2006
Last updated
04/17/2014
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