Provider Demographics
NPI:1689946816
Name:WOLSKI, JAN (REGISTERED NURSE)
Entity Type:Individual
Prefix:MRS
First Name:JAN
Middle Name:
Last Name:WOLSKI
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 GICK RD
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-8517
Mailing Address - Country:US
Mailing Address - Phone:518-581-3560
Mailing Address - Fax:
Practice Address - Street 1:27 GICK RD
Practice Address - Street 2:
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-8517
Practice Address - Country:US
Practice Address - Phone:518-581-3560
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-03
Last Update Date:2012-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY19700001163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool