Individual
VICKI JEAN DONALDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
125 MAPLE HOLLOW RD, DUNCANSVILLE, PA 16635-7920
(814) 693-2273
Mailing address
125 MAPLE HOLLOW RD, DUNCANSVILLE, PA 16635-7920
(814) 693-2273
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
517397L
PA
163WH0200X
Home Health Registered Nurse
RN517397L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74-2965625
—
PA
Enumeration date
08/24/2018
Last updated
08/24/2018
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