Provider Demographics
NPI:1952790487
Name:FRIEL, DONNA M (LPN)
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:M
Last Name:FRIEL
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MS
Other - First Name:DONNA
Other - Middle Name:M
Other - Last Name:FRIEL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPN
Mailing Address - Street 1:8 CHARLES LN APT 2C
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:NY
Mailing Address - Zip Code:10970-3033
Mailing Address - Country:US
Mailing Address - Phone:845-596-5572
Mailing Address - Fax:
Practice Address - Street 1:8 CHARLES LN APT 2C
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:NY
Practice Address - Zip Code:10970-3033
Practice Address - Country:US
Practice Address - Phone:845-596-5572
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-21
Last Update Date:2015-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY292778-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY292778-1OtherLPN