Provider Demographics
NPI:1932760881
Name:MAKUSON, DONNA CHERIE (CNA)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:CHERIE
Last Name:MAKUSON
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:526 59TH ST NE APT 201
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20019-6976
Mailing Address - Country:US
Mailing Address - Phone:704-923-6438
Mailing Address - Fax:
Practice Address - Street 1:3005 BLADENSBURG RD NE APT 310
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20018-2240
Practice Address - Country:US
Practice Address - Phone:202-604-1173
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-21
Last Update Date:2019-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCNA0000809978376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide