Provider Demographics
NPI:1376631317
Name:HOWERTON, DONNA MAE (CRNFA)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:MAE
Last Name:HOWERTON
Suffix:
Gender:F
Credentials:CRNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:979 SWEETBRIAR PL
Mailing Address - Street 2:
Mailing Address - City:GALESBURG
Mailing Address - State:IL
Mailing Address - Zip Code:61401-2327
Mailing Address - Country:US
Mailing Address - Phone:309-342-7800
Mailing Address - Fax:309-342-3246
Practice Address - Street 1:979 SWEETBRIAR PL
Practice Address - Street 2:
Practice Address - City:GALESBURG
Practice Address - State:IL
Practice Address - Zip Code:61401-2327
Practice Address - Country:US
Practice Address - Phone:309-342-7800
Practice Address - Fax:309-342-3246
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2009-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041-224208163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant