Provider Demographics
NPI:1245564152
Name:CHAMBERS, DONNA KATHLEEN (LPN)
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:KATHLEEN
Last Name:CHAMBERS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 MINUTEMAN LN
Mailing Address - Street 2:
Mailing Address - City:WELLESLEY
Mailing Address - State:MA
Mailing Address - Zip Code:02481-3622
Mailing Address - Country:US
Mailing Address - Phone:781-799-2525
Mailing Address - Fax:
Practice Address - Street 1:29 MINUTEMAN LN
Practice Address - Street 2:
Practice Address - City:WELLESLEY
Practice Address - State:MA
Practice Address - Zip Code:02481-3622
Practice Address - Country:US
Practice Address - Phone:781-799-2525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-24
Last Update Date:2009-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALN44641164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse