Individual
DONNA SUE CHILDRESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4881 SUGAR MAPLE DR, WPAFB, OH 45433-5529
(937) 257-1728
Mailing address
4881 SUGAR MAPLE DR, WPAFB, OH 45433-5529
(937) 257-1728
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
RN204988
OH
251B00000X
Case Management Agency
Primary
RN204988
OH
Other
Enumeration date
07/23/2024
Last updated
08/13/2024
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