Provider Demographics
NPI:1114227485
Name:AKERMAN, DONNA GAYLE (RN)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:GAYLE
Last Name:AKERMAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38574 NS 3500
Mailing Address - Street 2:
Mailing Address - City:KONAWA
Mailing Address - State:OK
Mailing Address - Zip Code:74849-4942
Mailing Address - Country:US
Mailing Address - Phone:405-761-9254
Mailing Address - Fax:580-925-2393
Practice Address - Street 1:38574 NS 3500
Practice Address - Street 2:
Practice Address - City:KONAWA
Practice Address - State:OK
Practice Address - Zip Code:74849-4942
Practice Address - Country:US
Practice Address - Phone:405-761-9254
Practice Address - Fax:580-925-2393
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-02
Last Update Date:2010-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR95698163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse