Provider Demographics
NPI:1134303431
Name:ZAKRZEWSKI, JANINE LOUISE (RN)
Entity Type:Individual
Prefix:
First Name:JANINE
Middle Name:LOUISE
Last Name:ZAKRZEWSKI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6614 WILLIAMS PL
Mailing Address - Street 2:
Mailing Address - City:LAMBERTVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48144-9460
Mailing Address - Country:US
Mailing Address - Phone:418-351-2145
Mailing Address - Fax:
Practice Address - Street 1:6614 WILLIAMS PL
Practice Address - Street 2:
Practice Address - City:LAMBERTVILLE
Practice Address - State:MI
Practice Address - Zip Code:48144-9460
Practice Address - Country:US
Practice Address - Phone:419-351-2145
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-21
Last Update Date:2007-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN237962163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2215365Medicaid