Provider Demographics
NPI:1194222117
Name:D'ANTUONO, DONNA LEE (RN)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:LEE
Last Name:D'ANTUONO
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 1:516 WAPITI LOOP
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:MT
Mailing Address - Zip Code:59840-9605
Mailing Address - Country:US
Mailing Address - Phone:406-375-9245
Mailing Address - Fax:
Practice Address - Street 1:516 WAPITI LOOP
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:MT
Practice Address - Zip Code:59840-9605
Practice Address - Country:US
Practice Address - Phone:406-375-9245
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-06
Last Update Date:2018-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT99492163W00000X
175L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175L00000XOther Service ProvidersHomeopath
No163W00000XNursing Service ProvidersRegistered Nurse