Basic Information
| Provider Information | |||||||||
| NPI: | 1316455140 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ZAMPINO | ||||||||
| FirstName: | CLAUDIO | ||||||||
| MiddleName: | RAFFAELE | ||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | CRNA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1424 EMERALD FOREST PKWY | ||||||||
| Address2: | |||||||||
| City: | CHARLESTON | ||||||||
| State: | SC | ||||||||
| PostalCode: | 294145805 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2035300352 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2145 HENRY TECKLENBURG DR | ||||||||
| Address2: | |||||||||
| City: | CHARLESTON | ||||||||
| State: | SC | ||||||||
| PostalCode: | 294145893 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8437891800 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/15/2018 | ||||||||
| LastUpdateDate: | 08/26/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/26/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WC0200X | RN2289867 | MA | N | Nursing Service Providers | Registered Nurse | Critical Care Medicine | 367500000X | 23984 | SC | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered |
No ID Information.