Provider Demographics
NPI:1295965648
Name:CURTISS, DONNA RENA (LPN)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:RENA
Last Name:CURTISS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4048 GOLDENROD CT
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45416-2212
Mailing Address - Country:US
Mailing Address - Phone:937-723-7868
Mailing Address - Fax:
Practice Address - Street 1:4048 GOLDENROD CT
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45416-3329
Practice Address - Country:US
Practice Address - Phone:937-723-7868
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-20
Last Update Date:2011-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH122766164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse