Provider Demographics
NPI:1477808491
Name:DONA, DEBRA N (CNA)
Entity Type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:N
Last Name:DONA
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:MISS
Other - First Name:DEBRA
Other - Middle Name:N
Other - Last Name:CHASE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNA
Mailing Address - Street 1:311 HOME ALONE
Mailing Address - Street 2:
Mailing Address - City:BYLAS
Mailing Address - State:AZ
Mailing Address - Zip Code:85530-0464
Mailing Address - Country:US
Mailing Address - Phone:928-235-1953
Mailing Address - Fax:
Practice Address - Street 1:311 HOME ALONE
Practice Address - Street 2:
Practice Address - City:BYLAS
Practice Address - State:AZ
Practice Address - Zip Code:85530-0464
Practice Address - Country:US
Practice Address - Phone:928-235-1953
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-16
Last Update Date:2012-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor