Provider Demographics
NPI:1275099087
Name:SOMMERS-WILLIAMS, DONNALEE ANTOINETTE (LPN)
Entity Type:Individual
Prefix:MRS
First Name:DONNALEE
Middle Name:ANTOINETTE
Last Name:SOMMERS-WILLIAMS
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 1:16000 TERRACE RD APT 1606
Mailing Address - Street 2:
Mailing Address - City:EAST CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44112-2057
Mailing Address - Country:US
Mailing Address - Phone:646-584-7121
Mailing Address - Fax:
Practice Address - Street 1:16000 TERRACE RD APT 1606
Practice Address - Street 2:
Practice Address - City:EAST CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44112-2057
Practice Address - Country:US
Practice Address - Phone:646-584-7121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-17
Last Update Date:2019-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH163795.MEDS164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse