Healthcare Provider Details

I. General information

NPI: 1841349115
Provider Name (Legal Business Name): JEANNE C ZUZEL RN, MA, CHTP,I
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/09/2007
Last Update Date: 01/05/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 OTROBANDO AVE
NORWICH CT
06360-2137
US

IV. Provider business mailing address

7 GREEN BRIAR RD 208 OTROBANDO AVENUE
NORWICH CT
06360-4016
US

V. Phone/Fax

Practice location:
  • Phone: 860-889-4690
  • Fax: 860-885-0354
Mailing address:
  • Phone: 860-889-4690
  • Fax: 860-885-0354

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR31462
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberR31462
License Number StateCT
# 3
Primary TaxonomyN
Taxonomy Code163WN1003X
TaxonomyNutrition Support Registered Nurse
License NumberR31462
License Number StateCT
# 4
Primary TaxonomyN
Taxonomy Code163WP0000X
TaxonomyPain Management Registered Nurse
License NumberR31462
License Number StateCT
# 5
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License NumberR31462
License Number StateCT
# 6
Primary TaxonomyN
Taxonomy Code163WC1600X
TaxonomyContinuing Education/Staff Development Registered Nurse
License NumberR31462
License Number StateCT
# 7
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License NumberR31462
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: