Provider Demographics
NPI:1265520092
Name:BANKS, DONNA LOUISE (RN RNPA)
Entity type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:LOUISE
Last Name:BANKS
Suffix:
Gender:F
Credentials:RN RNPA
Other - Prefix:MRS
Other - First Name:DONNA
Other - Middle Name:LOUISE
Other - Last Name:MARIOTTI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:3333 NORTH WHITMAN
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98407-1547
Mailing Address - Country:US
Mailing Address - Phone:253-759-3065
Mailing Address - Fax:253-759-3075
Practice Address - Street 1:3333 N WHITMAN
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98407-1547
Practice Address - Country:US
Practice Address - Phone:253-759-3065
Practice Address - Fax:253-759-3075
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00100149163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant