Provider Demographics
NPI:1861531154
Name:MEISSNER, DONNA K
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:K
Last Name:MEISSNER
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 1:16866 COUNTY ROAD 16 NW
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:56326-8313
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:16866 COUNTY ROAD 16 NW
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:MN
Practice Address - Zip Code:56326-8313
Practice Address - Country:US
Practice Address - Phone:320-834-4889
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker