Provider Demographics
NPI:1659521813
Name:DONATELLI, DENISE ELIZABETH (RN 219365)
Entity Type:Individual
Prefix:MS
First Name:DENISE
Middle Name:ELIZABETH
Last Name:DONATELLI
Suffix:
Gender:F
Credentials:RN 219365
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1605 EDDINGTON RD
Mailing Address - Street 2:UP
Mailing Address - City:E CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44118-5401
Mailing Address - Country:US
Mailing Address - Phone:216-371-3962
Mailing Address - Fax:
Practice Address - Street 1:1605 EDDINGTON RD
Practice Address - Street 2:UP
Practice Address - City:EAST CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44118-5401
Practice Address - Country:US
Practice Address - Phone:216-371-3962
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-24
Last Update Date:2008-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN219365163W00000X, 163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
No163W00000XNursing Service ProvidersRegistered Nurse