Individual
MS. DONNA MARIE DALFONSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2 EASTGATE AVE, SUITE 102, MONESSEN, PA 15062-1389
(724) 684-6489
(724) 684-7116
Mailing address
2 EASTGATE AVE, SUITE 102, MONESSEN, PA 15062-1389
(724) 684-6489
(724) 684-7116
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
RN259480L
PA
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN259480L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN259480L
LICENSE
PA
Enumeration date
07/19/2012
Last updated
07/19/2012
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