Individual provider · NPI-1
Donna Mae Whitehead, RN
Registered Nurse, General Practice · Manitowoc, WI
NPI number1346207107
StatusActive
Last updated in NPPESJul 9, 2007
Details
- NPI
- 1346207107
- Entity type
- Individual (NPI-1)
- Name
- Donna Mae Whitehead
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 26, 2006
- Last updated
- Jul 9, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WG0000X | Registered Nurse, General Practice | 150620-030 | WI | Yes |
Practice location
5140 Expo Dr# 108
Manitowoc, WI 54220-8336
Phone 920-684-5460 · Fax 920-684-5460
Mailing address
5140 Expo Dr# 108
Manitowoc, WI 54220-8336
Phone 920-684-5460 · Fax 920-684-5460
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