Provider Demographics
NPI:1861723959
Name:ROBINSON, DONNA JANICE
Entity type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:JANICE
Last Name:ROBINSON
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:RR 3 BOX 279
Mailing Address - Street 2:
Mailing Address - City:MCALESTER
Mailing Address - State:OK
Mailing Address - Zip Code:74501-9533
Mailing Address - Country:US
Mailing Address - Phone:918-424-1137
Mailing Address - Fax:918-426-3064
Practice Address - Street 1:RR 3 BOX 279
Practice Address - Street 2:
Practice Address - City:MCALESTER
Practice Address - State:OK
Practice Address - Zip Code:74501-9533
Practice Address - Country:US
Practice Address - Phone:918-424-1137
Practice Address - Fax:918-426-3064
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-29
Last Update Date:2010-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator