Provider Demographics
NPI:1841349115
Name:ZUZEL, JEANNE C (RN, MA, CHTP,I)
Entity type:Individual
Prefix:MRS
First Name:JEANNE
Middle Name:C
Last Name:ZUZEL
Suffix:
Gender:F
Credentials:RN, MA, CHTP,I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 GREEN BRIAR RD
Mailing Address - Street 2:208 OTROBANDO AVENUE
Mailing Address - City:NORWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06360-4016
Mailing Address - Country:US
Mailing Address - Phone:860-889-4690
Mailing Address - Fax:860-885-0354
Practice Address - Street 1:208 OTROBANDO AVE
Practice Address - Street 2:
Practice Address - City:NORWICH
Practice Address - State:CT
Practice Address - Zip Code:06360-2137
Practice Address - Country:US
Practice Address - Phone:860-889-4690
Practice Address - Fax:860-885-0354
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2015-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTR31462163W00000X, 163WG0000X, 163WN1003X, 163WP0000X, 221700000X, 163WC1600X, 174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
No163W00000XNursing Service ProvidersRegistered Nurse
No163WN1003XNursing Service ProvidersRegistered NurseNutrition Support
No163WP0000XNursing Service ProvidersRegistered NursePain Management
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist
No163WC1600XNursing Service ProvidersRegistered NurseContinuing Education/Staff Development
No174H00000XOther Service ProvidersHealth Educator