Provider Demographics
NPI:1407096837
Name:SCHLOSS, DONNA LEE (NP)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:LEE
Last Name:SCHLOSS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:233 LOS CEDROS LOOP
Mailing Address - Street 2:
Mailing Address - City:KERRVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78028-2977
Mailing Address - Country:US
Mailing Address - Phone:830-792-6189
Mailing Address - Fax:
Practice Address - Street 1:1807 WATER STREET
Practice Address - Street 2:RAPHAEL COMMUNITY FREE CLINIC
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028
Practice Address - Country:US
Practice Address - Phone:830-895-4201
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-25
Last Update Date:2012-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX219454363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily