Provider Demographics
NPI:1740501667
Name:STROLE, DONNA LYNN (LPN)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:LYNN
Last Name:STROLE
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 1:110 W HONEY CREEK PKWY
Mailing Address - Street 2:
Mailing Address - City:TERRE HAUTE
Mailing Address - State:IN
Mailing Address - Zip Code:47802-4114
Mailing Address - Country:US
Mailing Address - Phone:812-232-2890
Mailing Address - Fax:812-232-3506
Practice Address - Street 1:110 W HONEY CREEK PKWY
Practice Address - Street 2:
Practice Address - City:TERRE HAUTE
Practice Address - State:IN
Practice Address - Zip Code:47802-4114
Practice Address - Country:US
Practice Address - Phone:812-232-2890
Practice Address - Fax:812-232-3506
Is Sole Proprietor?:No
Enumeration Date:2010-06-15
Last Update Date:2010-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN27030740A164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse