Provider Demographics
NPI:1316001878
Name:WARD, DONNA ROGERS (RD,LDN)
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:ROGERS
Last Name:WARD
Suffix:
Gender:F
Credentials:RD,LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38754 STATE ROAD 80
Mailing Address - Street 2:
Mailing Address - City:BELLE GLADE
Mailing Address - State:FL
Mailing Address - Zip Code:33430-5615
Mailing Address - Country:US
Mailing Address - Phone:561-996-1600
Mailing Address - Fax:
Practice Address - Street 1:38754 STATE ROAD 80
Practice Address - Street 2:
Practice Address - City:BELLE GLADE
Practice Address - State:FL
Practice Address - Zip Code:33430-5615
Practice Address - Country:US
Practice Address - Phone:561-996-1600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND0000866133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered