Provider Demographics
NPI:1376159095
Name:BUZZELL, JONI MARIE (RN)
Entity Type:Individual
Prefix:
First Name:JONI
Middle Name:MARIE
Last Name:BUZZELL
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 1:21280 BONANZA BLVD
Mailing Address - Street 2:
Mailing Address - City:ELKHORN
Mailing Address - State:NE
Mailing Address - Zip Code:68022-1803
Mailing Address - Country:US
Mailing Address - Phone:402-968-4465
Mailing Address - Fax:
Practice Address - Street 1:21280 BONANZA BLVD
Practice Address - Street 2:
Practice Address - City:ELKHORN
Practice Address - State:NE
Practice Address - Zip Code:68022-1803
Practice Address - Country:US
Practice Address - Phone:402-968-4465
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-17
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE55282163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool