Provider Demographics
NPI:1316648025
Name:CUTRONE, SYBIL VASILY (MSN, APRN, CRNA)
Entity type:Individual
Prefix:
First Name:SYBIL
Middle Name:VASILY
Last Name:CUTRONE
Suffix:
Gender:F
Credentials:MSN, APRN, CRNA
Other - Prefix:
Other - First Name:SYBIL
Other - Middle Name:VASILY ISRAEL
Other - Last Name:ROCA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 2697
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42102-7697
Mailing Address - Country:US
Mailing Address - Phone:270-745-1100
Mailing Address - Fax:270-745-1156
Practice Address - Street 1:250 PARK ST
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42101-1760
Practice Address - Country:US
Practice Address - Phone:270-745-1111
Practice Address - Fax:270-745-1026
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-10
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
KY4001202367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty