Individual
MARY BETH ZAZZERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
210 LOOMIS RD, MONTROSE, PA 18801-9387
(570) 313-5584
Mailing address
210 LOOMIS RD, MONTROSE, PA 18801-9387
(570) 313-5584
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
514096
NY
163W00000X
Registered Nurse
RN333763L
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
48112
PA
Other
Enumeration date
09/26/2005
Last updated
01/15/2013
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