Provider Demographics
NPI:1548584873
Name:TALAN, DONNA LEIGH (APRN)
Entity type:Individual
Prefix:
First Name:DONNA LEIGH
Middle Name:
Last Name:TALAN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:DONNA LEIGH
Other - Middle Name:
Other - Last Name:OANDASAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1111 3RD AVE STE 1100
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-3207
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1111 3RD AVE STE 1100
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-3207
Practice Address - Country:US
Practice Address - Phone:253-225-8235
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-15
Last Update Date:2021-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN237812164X00000X
KS78796363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No164X00000XNursing Service ProvidersLicensed Vocational Nurse