Provider Demographics
NPI:1871040063
Name:ARMER, DONNA BETTY (RN)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:BETTY
Last Name:ARMER
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 1:53 ARAGON RD
Mailing Address - Street 2:PO BOX 64
Mailing Address - City:TAYLORSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30178-1740
Mailing Address - Country:US
Mailing Address - Phone:678-333-3056
Mailing Address - Fax:
Practice Address - Street 1:53 ARAGON RD
Practice Address - Street 2:
Practice Address - City:TAYLORSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30178-1740
Practice Address - Country:US
Practice Address - Phone:678-333-3056
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-06
Last Update Date:2016-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN062879163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice