Provider Demographics
NPI:1255398988
Name:JANISZEWSKI, ROBIN PATRICIA (RN/RCS)
Entity type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:PATRICIA
Last Name:JANISZEWSKI
Suffix:
Gender:F
Credentials:RN/RCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4145 S 68TH ST
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53220-2901
Mailing Address - Country:US
Mailing Address - Phone:414-546-2069
Mailing Address - Fax:
Practice Address - Street 1:4145 S 68TH ST
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:WI
Practice Address - Zip Code:53220-2901
Practice Address - Country:US
Practice Address - Phone:414-546-2069
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-27
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI39821000Medicaid