Provider Demographics
NPI:1629234844
Name:VUJOVIC, IWONA (LPN)
Entity Type:Individual
Prefix:MS
First Name:IWONA
Middle Name:
Last Name:VUJOVIC
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MS
Other - First Name:IWONA
Other - Middle Name:
Other - Last Name:RUDNICKA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 545
Mailing Address - Street 2:
Mailing Address - City:DOVER PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:12522
Mailing Address - Country:US
Mailing Address - Phone:347-668-2493
Mailing Address - Fax:845-877-1056
Practice Address - Street 1:7 BROCKE VIEW LANE
Practice Address - Street 2:
Practice Address - City:DOVER PLAINS
Practice Address - State:NY
Practice Address - Zip Code:12522
Practice Address - Country:US
Practice Address - Phone:347-668-2493
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-07
Last Update Date:2008-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY168082164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse