Provider Demographics
NPI:1467803270
Name:MARKS, DONNA LYNN (RN)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:LYNN
Last Name:MARKS
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 1:80 MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:ROUSES POINT
Mailing Address - State:NY
Mailing Address - Zip Code:12979-1402
Mailing Address - Country:US
Mailing Address - Phone:518-297-7211
Mailing Address - Fax:518-297-2970
Practice Address - Street 1:80 MAPLE ST
Practice Address - Street 2:
Practice Address - City:ROUSES POINT
Practice Address - State:NY
Practice Address - Zip Code:12979-1402
Practice Address - Country:US
Practice Address - Phone:518-297-7211
Practice Address - Fax:518-297-2970
Is Sole Proprietor?:No
Enumeration Date:2016-06-23
Last Update Date:2016-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY397732163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool