Provider Demographics
NPI:1487817425
Name:FLORENCE, DONNA LEE (RN)
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:LEE
Last Name:FLORENCE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:
Other - Last Name:FLORENCE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:REGISTERED NURSE
Mailing Address - Street 1:PO BOX 16
Mailing Address - Street 2:1286 RTE 9D
Mailing Address - City:GARRISON
Mailing Address - State:NY
Mailing Address - Zip Code:10524-0016
Mailing Address - Country:US
Mailing Address - Phone:845-424-3130
Mailing Address - Fax:
Practice Address - Street 1:110 OREGON RD
Practice Address - Street 2:CORTLANDT HEALTHCARE
Practice Address - City:CORTLANDT MANOR
Practice Address - State:NY
Practice Address - Zip Code:10567-0000
Practice Address - Country:US
Practice Address - Phone:845-424-3130
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-09
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY5261591163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse