Provider Demographics
NPI:1750521829
Name:VISHNAUSKI, CATALINA MARIA (LPN)
Entity type:Individual
Prefix:MS
First Name:CATALINA
Middle Name:MARIA
Last Name:VISHNAUSKI
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6252 HOLLOW WOOD CIR
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:45140-9108
Mailing Address - Country:US
Mailing Address - Phone:513-683-7003
Mailing Address - Fax:
Practice Address - Street 1:6252 HOLLOW WOOD CIR
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:OH
Practice Address - Zip Code:45140-9108
Practice Address - Country:US
Practice Address - Phone:513-683-7003
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-02
Last Update Date:2009-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN 121545164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2773851Medicaid