Provider Demographics
NPI:1093553281
Name:LEONARD, DONNA (RN, BSN, HNB-BC)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:LEONARD
Suffix:
Gender:F
Credentials:RN, BSN, HNB-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14320 SW RED HAVEN DR
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97008-4919
Mailing Address - Country:US
Mailing Address - Phone:503-349-5398
Mailing Address - Fax:
Practice Address - Street 1:1671 MAHANI LOOP
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96819-2831
Practice Address - Country:US
Practice Address - Phone:503-349-5398
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-19
Last Update Date:2024-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program