Individual
DONNA HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1015 MICHIGAN AVE, LOGANSPORT, IN 46947-1526
(574) 722-5151
(574) 739-1313
Mailing address
1015 MICHIGAN AVE, LOGANSPORT, IN 46947-1526
(574) 722-5151
(574) 739-1313
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28110605A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28110605A
RN LICENSE
IN
Enumeration date
08/23/2006
Last updated
07/08/2007
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