Provider Demographics
NPI:1861721086
Name:FERRELL, DONNA LUCILLE (APRN)
Entity type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:LUCILLE
Last Name:FERRELL
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Gender:F
Credentials:APRN
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Mailing Address - Street 1:5770 S 250 E STE 340
Mailing Address - Street 2:INTERMOUNTAIN SLEEP DISORDERS
Mailing Address - City:MURRAY
Mailing Address - State:UT
Mailing Address - Zip Code:84107-8163
Mailing Address - Country:US
Mailing Address - Phone:801-314-2400
Mailing Address - Fax:801-314-2385
Practice Address - Street 1:5770 S 250 E STE 340
Practice Address - Street 2:INTERMOUNTAIN SLEEP DISORDERS
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84107-8163
Practice Address - Country:US
Practice Address - Phone:801-314-2400
Practice Address - Fax:801-314-2385
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-17
Last Update Date:2010-08-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
UT374720-4405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily