Provider Demographics
NPI:1497239073
Name:SCHLEISMAN, DONNA JEAN (RN)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:JEAN
Last Name:SCHLEISMAN
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 1:2708 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:SLAYTON
Mailing Address - State:MN
Mailing Address - Zip Code:56172-1326
Mailing Address - Country:US
Mailing Address - Phone:507-836-8825
Mailing Address - Fax:
Practice Address - Street 1:2708 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:SLAYTON
Practice Address - State:MN
Practice Address - Zip Code:56172-1326
Practice Address - Country:US
Practice Address - Phone:507-836-8825
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-20
Last Update Date:2018-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN951162163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse