Provider Demographics
NPI:1023797750
Name:DONKERSLOOT, DELIA LEANNE (CNP)
Entity type:Individual
Prefix:
First Name:DELIA
Middle Name:LEANNE
Last Name:DONKERSLOOT
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8012 S GRASS CREEK DR
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57108-6230
Mailing Address - Country:US
Mailing Address - Phone:515-450-7746
Mailing Address - Fax:
Practice Address - Street 1:4610 S TECHNOPOLIS DR STE 35
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57106-4242
Practice Address - Country:US
Practice Address - Phone:605-599-3494
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-11
Last Update Date:2024-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDR046334163W00000X
SDCP003082363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse