Provider Demographics
NPI:1669700803
Name:PREBLE, DONNA ELIZABETH (RN, CNS, MSN)
Entity type:Individual
Prefix:MS
First Name:DONNA
Middle Name:ELIZABETH
Last Name:PREBLE
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Gender:F
Credentials:RN, CNS, MSN
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Mailing Address - Street 1:PO BOX 911230
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75391-1230
Mailing Address - Country:US
Mailing Address - Phone:972-997-8000
Mailing Address - Fax:972-234-2987
Practice Address - Street 1:6204 BALCONES DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-4214
Practice Address - Country:US
Practice Address - Phone:512-427-9400
Practice Address - Fax:512-427-9436
Is Sole Proprietor?:No
Enumeration Date:2009-11-30
Last Update Date:2023-05-11
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Provider Licenses
StateLicense IDTaxonomies
TX0655017364SA2200X
TXAP110822364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist
No364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX297614401Medicaid
TX297614401Medicaid