Individual provider · Type 1 NPI

John Thomas Konieczny Iii, RN, BSN, CEN

Student in an Organized Health Care Education/Training Program · San Diego, CA

NPI number 1104714849 Active

Practice location

5998 Alcala Park
San Diego, CA 92110-8001

Mailing address

4353 Park Blvd Apt 691
San Diego, CA 92103-2582

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104714849

John Thomas Konieczny Iii, RN, BSN, CEN's National Provider Identifier is 1104714849, issued on Jun 24, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Diego, CA. The record was last updated on Jun 24, 2025.