Provider Demographics
NPI:1659659605
Name:POOLE, DONNA M (RN)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:M
Last Name:POOLE
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Gender:F
Credentials:RN
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Mailing Address - Street 1:8500 SHOAL CREEK BLVD
Mailing Address - Street 2:BLDG.4 SUITE 150
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78757-7591
Mailing Address - Country:US
Mailing Address - Phone:512-835-0500
Mailing Address - Fax:512-835-0502
Practice Address - Street 1:8500 SHOAL CREEK BLVD
Practice Address - Street 2:BLDG.4 SUITE 150
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78757-7591
Practice Address - Country:US
Practice Address - Phone:512-835-0500
Practice Address - Fax:512-835-0502
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-25
Last Update Date:2011-07-25
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Provider Licenses
StateLicense IDTaxonomies
TX422689163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health