Individual
ANGELA DONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1602 BROAD ST, PHENIX CITY, AL 36867-5081
(334) 540-3808
Mailing address
31 KATHLEEN CIR, PHENIX CITY, AL 36869-5619
(334) 540-3808
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
164W00000X
Licensed Practical Nurse
2-050124
AL
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
03/27/2020
Last updated
10/25/2022
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