Provider Demographics
NPI:1881864437
Name:RHETT, DONNA (CNA)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:RHETT
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:794 E WALNUT RD
Mailing Address - Street 2:APT 2E
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08360-8322
Mailing Address - Country:US
Mailing Address - Phone:800-950-6066
Mailing Address - Fax:
Practice Address - Street 1:794 E WALNUT RD
Practice Address - Street 2:APT 2E
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360-8322
Practice Address - Country:US
Practice Address - Phone:800-950-6066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-10
Last Update Date:2008-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJNA0000566489376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide