Provider Demographics
NPI:1740563824
Name:SPEARMAN, DONNA (LPN)
Entity type:Individual
Prefix:MISS
First Name:DONNA
Middle Name:
Last Name:SPEARMAN
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 1:10300 W BLUE MOUND RD
Mailing Address - Street 2:APT 118
Mailing Address - City:WAUWATOSA
Mailing Address - State:WI
Mailing Address - Zip Code:53226-4389
Mailing Address - Country:US
Mailing Address - Phone:414-430-1554
Mailing Address - Fax:
Practice Address - Street 1:10300 W BLUE MOUND RD
Practice Address - Street 2:APT 118
Practice Address - City:WAUWATOSA
Practice Address - State:WI
Practice Address - Zip Code:53226-4389
Practice Address - Country:US
Practice Address - Phone:414-430-1554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-24
Last Update Date:2011-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI30272-31164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse