Donna Marie Hartley, LPN
Licensed Practical Nurse in North Bend, OR. Individual provider (NPI-1).
NPI number1699412809
StatusActive
Last updated in NPPESMay 18, 2022
Details
- NPI
- 1699412809
- Entity type
- Individual (NPI-1)
- Name
- Donna Marie Hartley
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 18, 2022
- Certification date
- May 18, 2022
- Last updated
- May 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 4000 | AK | Yes |
Practice location
2191 Marion StNorth Bend, OR 97459-2314
Phone 541-756-8002
Mailing address
2191 Marion StNorth Bend, OR 97459-2314
Phone 541-756-8002
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