Maureen Annette Vidnovic, RN

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

RN191125L Issued in PA

Practice address

410 Pellis Rd
Suite2A
Greensburg, PA 15601-4700

Phone

(724) 836-0400

Fax

(724) 836-6422

NPI assigned

Jan 17, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Maureen Annette Vidnovic Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358380800000",
    "number": "1932447455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 PELLIS RD",
            "address_2": "SUITE2A",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156014700",
            "telephone_number": "724-836-0400",
            "fax_number": "724-836-6422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 PELLIS RD",
            "address_2": "SUITE2A",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156014700",
            "telephone_number": "724-836-0400",
            "fax_number": "724-836-6422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDNOVIC",
        "first_name": "MAUREEN",
        "middle_name": "ANNETTE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-17",
        "last_updated": "2013-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "WV",
            "license": "84562",
            "primary": false
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "PA",
            "license": "RN191125L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAUREEN",
            "last_name": "VIDNOVIC",
            "middle_name": "ANNETTE",
            "prefix": "MRS.",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Stephanie Esther Veloso
• Leonard Allen Venturini, RPH
• Sarah Elizabeth Veraldi Mack Shotts, LMT
• Kaeli Verbrugge
• Andrew Victory, M.D.
• Lara Vidra, LAPC
• Shalini K Vilsack
• Thomas Scott Vince, DMD
• Patrick Vincent, M.D.
• Kaleena Felicia Virag, PMHNP-BC

• Medical-Surgical Registered Nurse in Greensburg, PA
• Providers in Greensburg, PA by specialty
• Medical-Surgical Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.