Provider Demographics
NPI:1386449239
Name:JARZYNKA, COLLEEN RANAE
Entity type:Individual
Prefix:
First Name:COLLEEN
Middle Name:RANAE
Last Name:JARZYNKA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:COLLEEN
Other - Middle Name:RANAE
Other - Last Name:JARZYNKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:911 N ADAMS AVE
Mailing Address - Street 2:
Mailing Address - City:HARVARD
Mailing Address - State:NE
Mailing Address - Zip Code:68944-2125
Mailing Address - Country:US
Mailing Address - Phone:402-224-2255
Mailing Address - Fax:
Practice Address - Street 1:911 N ADAMS AVE
Practice Address - Street 2:
Practice Address - City:HARVARD
Practice Address - State:NE
Practice Address - Zip Code:68944-2125
Practice Address - Country:US
Practice Address - Phone:402-224-2255
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-14
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider
No372600000XNursing Service Related ProvidersAdult Companion