Provider Demographics
NPI:1437869898
Name:HILKE, DONDA LYNN
Entity Type:Individual
Prefix:
First Name:DONDA
Middle Name:LYNN
Last Name:HILKE
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 1:31 CEDAR HILL LN
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:CT
Mailing Address - Zip Code:06420-4008
Mailing Address - Country:US
Mailing Address - Phone:860-518-0238
Mailing Address - Fax:
Practice Address - Street 1:31 CEDAR HILL LN
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:CT
Practice Address - Zip Code:06420-4008
Practice Address - Country:US
Practice Address - Phone:860-518-0238
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-28
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT127238163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse