Provider Demographics
NPI:1265657613
Name:PRICE, DONNA
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:PRICE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 S 9TH AVE APT 3
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98902-3351
Mailing Address - Country:US
Mailing Address - Phone:509-453-5306
Mailing Address - Fax:
Practice Address - Street 1:209 S 9TH AVE APT 3
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98902-3351
Practice Address - Country:US
Practice Address - Phone:509-453-5306
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-13
Last Update Date:2008-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide