Cori Lyn Dynek, RN,BSN
Individual provider Active NPI Home Health Registered Nurse · Hartford, WI
NPI 1124266259 · NPPES record last updated Jan 27, 2009
Key facts
- NPI
- 1124266259
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Registered Nurse 163WH0200X
- License
- 147857-30 (WI)
- Practice address
- 539 Cleveland Ave
Hartford, WI 53027-2729 - Phone
- (414) 699-9845
- NPI assigned
- Jan 27, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 147857-30 | WI | MD | Home Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 147857-30 | WI | Yes |
Addresses
Primary practice location
539 Cleveland Ave
Hartford, WI 53027-2729
Mailing address
539 Cleveland Ave
Hartford, WI 53027-2729
Phone (414) 699-9845
Other providers in Hartford, WI
- Dr. Espinosa DDS Tooth Or Gum, LLC
- Dakota Ann Drolshagen
- Dana Lauren Dubois
- Katherine E Duckert
- Kamalpreet Dulai
- Rachel A Eash-Scott
- Kristine M Erickson
- Ernesto Espinosa
- Jennifer Everts
- Expert Care Inc
All providers in Hartford, WI · Home Health Registered Nurse in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.