Provider Demographics
NPI:1518659390
Name:COLLINS, DONNA THERESA
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:THERESA
Last Name:COLLINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1807 SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44143-1246
Mailing Address - Country:US
Mailing Address - Phone:216-374-8435
Mailing Address - Fax:
Practice Address - Street 1:1807 SUNSET DR
Practice Address - Street 2:
Practice Address - City:RICHMOND HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44143-1246
Practice Address - Country:US
Practice Address - Phone:216-296-9682
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-22
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker