Provider Demographics
NPI:1508846205
Name:ABENROTH, DONNA JEAN (RN)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:JEAN
Last Name:ABENROTH
Suffix:
Gender:F
Credentials:RN
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Mailing Address - Street 1:10130 RAPTOR LOOP
Mailing Address - Street 2:
Mailing Address - City:PEYTON
Mailing Address - State:CO
Mailing Address - Zip Code:80831-7033
Mailing Address - Country:US
Mailing Address - Phone:719-495-6844
Mailing Address - Fax:719-548-9947
Practice Address - Street 1:6275 LEHMAN DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-1433
Practice Address - Country:US
Practice Address - Phone:719-592-0200
Practice Address - Fax:719-548-9947
Is Sole Proprietor?:No
Enumeration Date:2006-01-19
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA263120163WD0400X
CO124379163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator
Not Answered163WA2000XNursing Service ProvidersRegistered NurseAdministrator