Provider Demographics
NPI:1396833166
Name:VENDLINSKI, SUSANNE (RN, CNS)
Entity Type:Individual
Prefix:
First Name:SUSANNE
Middle Name:
Last Name:VENDLINSKI
Suffix:
Gender:F
Credentials:RN, CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 W 10TH AVE
Mailing Address - Street 2:JAMES 824
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43210-1280
Mailing Address - Country:US
Mailing Address - Phone:614-293-2598
Mailing Address - Fax:614-366-7912
Practice Address - Street 1:300 W 10TH AVE
Practice Address - Street 2:JAMES 824
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43210-1280
Practice Address - Country:US
Practice Address - Phone:614-293-2598
Practice Address - Fax:614-366-7912
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2010-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNS-04469364SX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SX0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistOncology