Provider Demographics
NPI:1679362503
Name:DONNELL, CHEYANN LACI
Entity type:Individual
Prefix:
First Name:CHEYANN
Middle Name:LACI
Last Name:DONNELL
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2703 N R RD
Mailing Address - Street 2:
Mailing Address - City:MARQUETTE
Mailing Address - State:NE
Mailing Address - Zip Code:68854-4100
Mailing Address - Country:US
Mailing Address - Phone:402-631-7996
Mailing Address - Fax:
Practice Address - Street 1:5001 NW 1ST ST STE 7
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68521-4498
Practice Address - Country:US
Practice Address - Phone:402-440-5878
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-06
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion