Provider Demographics
NPI:1700973732
Name:BRECKEL, DONNA (APRN,BC)
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:
Last Name:BRECKEL
Suffix:
Gender:F
Credentials:APRN,BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95 W WATERLOO RD
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44319-1131
Mailing Address - Country:US
Mailing Address - Phone:216-701-6485
Mailing Address - Fax:
Practice Address - Street 1:95 W WATERLOO RD
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44319-1131
Practice Address - Country:US
Practice Address - Phone:216-701-6485
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2010-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN215981163WC0400X
OHNS-08121364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health
No163WC0400XNursing Service ProvidersRegistered NurseCase Management