Provider Demographics
NPI:1467147470
Name:DONALDSON, WHITNEY (RN)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:
Last Name:DONALDSON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1618 VENABLE LN
Mailing Address - Street 2:
Mailing Address - City:CARTERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62918-1995
Mailing Address - Country:US
Mailing Address - Phone:618-527-7392
Mailing Address - Fax:618-997-7177
Practice Address - Street 1:1618 VENABLE LN
Practice Address - Street 2:
Practice Address - City:CARTERVILLE
Practice Address - State:IL
Practice Address - Zip Code:62918-1995
Practice Address - Country:US
Practice Address - Phone:618-527-7392
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-06
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041394489163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management