Individual
DONNA MAE WHITEHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5140 EXPO DR, # 108, MANITOWOC, WI 54220-8336
(920) 684-5460
(920) 684-5460
Mailing address
5140 EXPO DR, # 108, MANITOWOC, WI 54220-8336
(920) 684-5460
(920) 684-5460
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38332700
—
WI
Enumeration date
04/26/2006
Last updated
07/09/2007
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