Provider Demographics
NPI:1932242187
Name:FEURY, DONNA RAYE
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:RAYE
Last Name:FEURY
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 1:2132 WAGGONER AVE
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47714-3723
Mailing Address - Country:US
Mailing Address - Phone:812-303-6462
Mailing Address - Fax:
Practice Address - Street 1:4851 W LLOYD EXPY
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47712-6520
Practice Address - Country:US
Practice Address - Phone:812-421-1268
Practice Address - Fax:812-426-7090
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN250101030358077183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN1168390002Medicare ID - Type Unspecified