Provider Demographics
NPI:1992334148
Name:ZALNERAITIS, JAN MARIE (RN)
Entity type:Individual
Prefix:
First Name:JAN
Middle Name:MARIE
Last Name:ZALNERAITIS
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 1:93 MAIN ST APT 4
Mailing Address - Street 2:
Mailing Address - City:BRATTLEBORO
Mailing Address - State:VT
Mailing Address - Zip Code:05301-3260
Mailing Address - Country:US
Mailing Address - Phone:802-380-9249
Mailing Address - Fax:
Practice Address - Street 1:SAU 92 HINSDALE SCHOOL DISTRICT
Practice Address - Street 2:49 SCHOOL STREET
Practice Address - City:HINSDALE
Practice Address - State:NH
Practice Address - Zip Code:03451
Practice Address - Country:US
Practice Address - Phone:603-336-5984
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-08
Last Update Date:2020-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH049537-21163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool