Provider Demographics
NPI:1124553755
Name:ORLAN, DONALD (RN)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:
Last Name:ORLAN
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10716 WINDROSE POINT AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89144-5423
Mailing Address - Country:US
Mailing Address - Phone:702-358-6246
Mailing Address - Fax:
Practice Address - Street 1:10716 WINDROSE POINT AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89144-5423
Practice Address - Country:US
Practice Address - Phone:702-358-6246
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-20
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61314454163W00000X
NV74689163W00000X
CA95262843163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse