Provider Demographics
NPI:1811365943
Name:WARR, DONNA LYNN (RN,IBCLC)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:LYNN
Last Name:WARR
Suffix:
Gender:F
Credentials:RN,IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1420 SW COURTYARDS TER
Mailing Address - Street 2:UNIT 55
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33914-3467
Mailing Address - Country:US
Mailing Address - Phone:856-366-0435
Mailing Address - Fax:
Practice Address - Street 1:1420 SW COURTYARDS TER
Practice Address - Street 2:UNIT 55
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33914-3467
Practice Address - Country:US
Practice Address - Phone:856-366-0435
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-06
Last Update Date:2015-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN 9276884163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL47-4967260OtherEIN