Provider Demographics
NPI:1518021260
Name:LINKE, DONNA M (CNP)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:M
Last Name:LINKE
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:M
Other - Last Name:BROOKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:39832 233RD ST
Mailing Address - Street 2:
Mailing Address - City:WOONSOCKET
Mailing Address - State:SD
Mailing Address - Zip Code:57385-6522
Mailing Address - Country:US
Mailing Address - Phone:605-796-4700
Mailing Address - Fax:
Practice Address - Street 1:39832 233RD ST
Practice Address - Street 2:
Practice Address - City:WOONSOCKET
Practice Address - State:SD
Practice Address - Zip Code:57385-6522
Practice Address - Country:US
Practice Address - Phone:605-770-0289
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2020-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDCP000489363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD5549010Medicaid