Provider Demographics
NPI:1285901868
Name:BRZENIA, KATARZYNA FRANCISZKA (RN)
Entity type:Individual
Prefix:MRS
First Name:KATARZYNA
Middle Name:FRANCISZKA
Last Name:BRZENIA
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 1:37 MOHIGAN WAY
Mailing Address - Street 2:
Mailing Address - City:MAHWAH
Mailing Address - State:NJ
Mailing Address - Zip Code:07430-2514
Mailing Address - Country:US
Mailing Address - Phone:201-818-0445
Mailing Address - Fax:
Practice Address - Street 1:37 MOHIGAN WAY
Practice Address - Street 2:
Practice Address - City:MAHWAH
Practice Address - State:NJ
Practice Address - Zip Code:07430-2514
Practice Address - Country:US
Practice Address - Phone:201-818-0445
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-25
Last Update Date:2011-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY493595163W00000X
NJ26NR09974900163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse