Provider Demographics
NPI:1285222927
Name:ZELESKI MARTIN, JOAN ELLEN (RN, MSN)
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:ELLEN
Last Name:ZELESKI MARTIN
Suffix:
Gender:F
Credentials:RN, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6730 S 88TH ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68526-9714
Mailing Address - Country:US
Mailing Address - Phone:402-488-8480
Mailing Address - Fax:
Practice Address - Street 1:6730 S 88TH ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68526-9714
Practice Address - Country:US
Practice Address - Phone:402-488-8480
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-07
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE31558163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse