Provider Demographics
NPI:1063882496
Name:CURTIS, DONNA JANE (RN)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:JANE
Last Name:CURTIS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12541 LANDMARK ST
Mailing Address - Street 2:APT 1
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99515-3883
Mailing Address - Country:US
Mailing Address - Phone:228-282-9730
Mailing Address - Fax:
Practice Address - Street 1:12541 LANDMARK ST
Practice Address - Street 2:APT 1
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99515-3883
Practice Address - Country:US
Practice Address - Phone:228-282-9730
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-28
Last Update Date:2015-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK37892163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse