Amanda Rose Donar, R.N.
Individual provider Active NPI Registered Nurse · Shullsburg, WI
NPI 1396004875 · NPPES record last updated May 3, 2012
Key facts
- NPI
- 1396004875
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 177909-30 (WI)
- Practice address
- 156 E Church St
Shullsburg, WI 53586-9523 - Phone
- (608) 732-8411
- NPI assigned
- May 3, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 177909-30 | WI | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 177909-30 | WI | Yes |
Addresses
Primary practice location
156 E Church St
Shullsburg, WI 53586-9523
Mailing address
156 E Church St
Shullsburg, WI 53586-9523
Phone (608) 732-8411
Other providers in Shullsburg, WI
- Family Health of Lafayette County
- Julie Ann Frank
- Chelse Krueger
- Lafayette County
- Tiffany Ann Raisbeck
All providers in Shullsburg, WI · Registered Nurse in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.