Individual
MISS DONNA MARIE WHITESELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
200 PRUSHNOK DRIVE, PUNXSUTAWNEY, PA 15767
(814) 938-4444
Mailing address
793 OLD ROUTE 119 HWY NORTH, INDIANA, PA 15701
(724) 465-5576
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN254593L
PA
Other
Enumeration date
07/14/2022
Last updated
07/14/2022
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