Individual
MRS. DONNA COURTNEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
4000 E CENTER ST, CONNEAUT, OH 44030-3062
(440) 593-3266
Mailing address
4000 E CENTER ST, CONNEAUT, OH 44030-3062
(440) 593-3266
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN164798
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2121260
—
OH
Enumeration date
03/14/2006
Last updated
07/09/2007
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