Provider Demographics
NPI:1699025791
Name:JASKULSKI, FAITH ELIZABETH (RN)
Entity Type:Individual
Prefix:MISS
First Name:FAITH
Middle Name:ELIZABETH
Last Name:JASKULSKI
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 1:6670 POWERS RD
Mailing Address - Street 2:
Mailing Address - City:ORCHARD PARK
Mailing Address - State:NY
Mailing Address - Zip Code:14127-3223
Mailing Address - Country:US
Mailing Address - Phone:716-573-9695
Mailing Address - Fax:
Practice Address - Street 1:6670 POWERS RD
Practice Address - Street 2:
Practice Address - City:ORCHARD PARK
Practice Address - State:NY
Practice Address - Zip Code:14127-3223
Practice Address - Country:US
Practice Address - Phone:716-573-9695
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-15
Last Update Date:2012-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY6613141163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health