Provider Demographics
NPI:1124599766
Name:MARSH-ALLEN, DONNA REGIN (RN)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:REGIN
Last Name:MARSH-ALLEN
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 1:2516 STENSON DR
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-5703
Mailing Address - Country:US
Mailing Address - Phone:832-723-8489
Mailing Address - Fax:
Practice Address - Street 1:2516 STENSON DR
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-5703
Practice Address - Country:US
Practice Address - Phone:832-723-8489
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-07
Last Update Date:2018-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX517459163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse