Provider Demographics
NPI:1124539986
Name:VYHNANEK, JOANNA MARY (RN)
Entity Type:Individual
Prefix:
First Name:JOANNA
Middle Name:MARY
Last Name:VYHNANEK
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:JOANNA
Other - Middle Name:MARY
Other - Last Name:ZIELINSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:946 VICTORIA LN
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE VILLAGE
Mailing Address - State:IL
Mailing Address - Zip Code:60007-4540
Mailing Address - Country:US
Mailing Address - Phone:630-673-8072
Mailing Address - Fax:
Practice Address - Street 1:2045 N FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205-5437
Practice Address - Country:US
Practice Address - Phone:303-338-4545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-19
Last Update Date:2017-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN.1650129163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse