Stacy Lynn Donaldson, stna
Nurse's Aide in Logan, OH. Individual provider (NPI-1).
NPI number1114130549
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1114130549
- Entity type
- Individual (NPI-1)
- Name
- Stacy Lynn Donaldson
- Credential
- stna
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 8, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376K00000X | Nurse's Aide | – | – | Yes |
Practice location
29629 Cherrycrest DrLogan, OH 43138-8601
Phone 740-385-6655
Mailing address
29629 Cherrycrest DrLogan, OH 43138-8601
Phone 740-385-6655
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