Provider Demographics
NPI:1427363720
Name:ZDANYS, JEAN STANKAITIS (APRN)
Entity type:Individual
Prefix:MRS
First Name:JEAN
Middle Name:STANKAITIS
Last Name:ZDANYS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:54 MEADOW ST.
Mailing Address - Street 2:NEW HAVEN HEALTH DEPARTMENT
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06519-1743
Mailing Address - Country:US
Mailing Address - Phone:203-946-6364
Mailing Address - Fax:203-946-6508
Practice Address - Street 1:17 MANSFIELD RD
Practice Address - Street 2:
Practice Address - City:NORTH HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06473-1212
Practice Address - Country:US
Practice Address - Phone:203-946-2934
Practice Address - Fax:203-946-7916
Is Sole Proprietor?:No
Enumeration Date:2010-08-11
Last Update Date:2010-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001967363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics