Zara, Carolyn Sue

Zara, Carolyn Sue is an sole proprietor health care provider with primary practice located at 120 Sturges Ave Suite #2, Mansfield OH 44903-2399. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Zara, Carolyn Sue can be contacted via phone (419) 525-4620.

Contact Information

Primary practice address
120 Sturges Ave Suite #2 Mansfield OH 44903-2399
Phone: (419) 525-4620
Fax: (419) 525-4620
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X NP-04736 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X NP-04736 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 364SP0200X NS-04519 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 364SW0102X NS-04519 Ohio

Profile Details

NPI number 1831181221
LBN Legal business name Zara, Carolyn Sue
Credentials CRNP, CNS, IBCLC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 22nd, 2005
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831181221 NPPES
Ohio MEDICAID 2287010

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