Christina Dawn Donner

Individual provider Active NPI Licensed Practical Nurse · Lusby, MD

NPI 1922200591 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1922200591
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
LP37624 (MD)
Practice address
11940 Six Gun Cir
Lusby, MD 20657-2565
Phone
(410) 394-1453
NPI assigned
Jun 4, 2007
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

State licenses

LicenseStateTypeSpecialty
LP37624MDMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LP37624 MD Yes

Addresses

Primary practice location

11940 Six Gun Cir
Lusby, MD 20657-2565

Mailing address

11940 Six Gun Cir
Lusby, MD 20657-2565
Phone (410) 394-1453

Other providers in Lusby, MD

All providers in Lusby, MD · Licensed Practical Nurse in Maryland

Sources for this page

Verify at the official NPI Registry.