Individual
DONNA LYNN VAUPEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
69 WARREN AVE, LK RONKONKOMA, NY 11779-1937
(631) 846-3236
Mailing address
69 WARREN AVE., LK. RONKONKOMA, NY 11779-1937
(631) 846-3236
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
349701
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01130845
—
NY
Enumeration date
06/12/2007
Last updated
07/09/2007
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