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Individual

MRS. DONNA LEE JUDKINS WORKMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
530 LIBERTY ST, CONNEAUT, OH 44030-2625
(440) 228-0506
(440) 593-5799
Mailing address
530 LIBERTY ST, CONNEAUT, OH 44030-2625
(440) 228-0506
(440) 593-5799

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
245284
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
08104
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN245284;CTPNP08104
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0110480
OH
05
2873967
OH
05
NONE
OH
Enumeration date
11/01/2006
Last updated
12/07/2024
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