Provider Demographics
NPI:1710255229
Name:WINANS, DONNA MARIE (RN)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:MARIE
Last Name:WINANS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:DONNA
Other - Middle Name:MARIE
Other - Last Name:STIEFFENHOFER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:6595 HEATHER DR
Mailing Address - Street 2:
Mailing Address - City:LOCKPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14094-1111
Mailing Address - Country:US
Mailing Address - Phone:716-434-1143
Mailing Address - Fax:
Practice Address - Street 1:6048 GODFREY RD
Practice Address - Street 2:
Practice Address - City:BURT
Practice Address - State:NY
Practice Address - Zip Code:14028-9722
Practice Address - Country:US
Practice Address - Phone:716-778-6353
Practice Address - Fax:716-778-6868
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-12
Last Update Date:2011-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY432738-1163W00000X
PARN235800L163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse