Provider Demographics
NPI:1760986871
Name:VYNANEK, NANCY KATHRYN (RN)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:KATHRYN
Last Name:VYNANEK
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 1:1851 TALLEYRAND AVE
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32206-5473
Mailing Address - Country:US
Mailing Address - Phone:904-358-4450
Mailing Address - Fax:904-358-4427
Practice Address - Street 1:1851 TALLEYRAND AVE
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32206-5473
Practice Address - Country:US
Practice Address - Phone:904-358-4450
Practice Address - Fax:904-358-4427
Is Sole Proprietor?:No
Enumeration Date:2018-03-22
Last Update Date:2018-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL622062163WX0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0106XNursing Service ProvidersRegistered NurseOccupational Health