Individual
DONNA L WITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
580 MOHAWK DR, BOULDER, CO 80303-3712
(303) 743-5855
Mailing address
580 MOHAWK, BOULDER, CO 80601-1808
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4430
CO
376K00000X
Nurse's Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009505
KAISER-COMMERCIAL NUMBER
—
Enumeration date
03/22/2007
Last updated
09/11/2025
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