Individual
DONNA MAE DALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
CLINIC #3301, 28100 CHAGRIN BLVD, WOODMERE, OH 44122-4412
(216) 831-1466
Mailing address
CLINIC #3301, 28100 CHAGRIN BLVD, WOODMERE, OH 44122-4260
(216) 831-1466
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
15392
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.15392
OH
Other
Enumeration date
11/26/2013
Last updated
09/29/2021
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