Provider Demographics
NPI:1790397123
Name:ARTHUR, DONNA K
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:K
Last Name:ARTHUR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 29TH ST APT 26
Mailing Address - Street 2:
Mailing Address - City:PARKERSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26101-1924
Mailing Address - Country:US
Mailing Address - Phone:304-494-6463
Mailing Address - Fax:
Practice Address - Street 1:720 29TH ST APT 26
Practice Address - Street 2:
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26101-1924
Practice Address - Country:US
Practice Address - Phone:304-494-6463
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-18
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant