Provider Demographics
NPI:1851929061
Name:TROXLER, DONICA MARIE (RN)
Entity Type:Individual
Prefix:
First Name:DONICA
Middle Name:MARIE
Last Name:TROXLER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3450 WATSON GATE RD
Mailing Address - Street 2:
Mailing Address - City:LOGANVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30052-6208
Mailing Address - Country:US
Mailing Address - Phone:470-553-0465
Mailing Address - Fax:
Practice Address - Street 1:2795 MAIN ST W STE 20B
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078-3073
Practice Address - Country:US
Practice Address - Phone:678-344-7836
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-01
Last Update Date:2020-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN280255163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse