Provider Demographics
NPI:1275609273
Name:ZELENKA, CYNTHIA K (RN)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:K
Last Name:ZELENKA
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 1:2766 ROLLING VIEW RD
Mailing Address - Street 2:
Mailing Address - City:STOUGHTON
Mailing Address - State:WI
Mailing Address - Zip Code:53589-3363
Mailing Address - Country:US
Mailing Address - Phone:608-877-8069
Mailing Address - Fax:
Practice Address - Street 1:2766 ROLLING VIEW RD
Practice Address - Street 2:
Practice Address - City:STOUGHTON
Practice Address - State:WI
Practice Address - Zip Code:53589-3363
Practice Address - Country:US
Practice Address - Phone:608-877-8069
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2024-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse