Provider Demographics
NPI:1104981729
Name:PILKINGTON, DONNA MAE (RN)
Entity type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:MAE
Last Name:PILKINGTON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3668 SOUTH DENMARK RD 1
Mailing Address - Street 2:
Mailing Address - City:DORSET
Mailing Address - State:OH
Mailing Address - Zip Code:44032-9617
Mailing Address - Country:US
Mailing Address - Phone:440-858-2311
Mailing Address - Fax:440-858-2683
Practice Address - Street 1:3668 SOUTH DENMARK RD
Practice Address - Street 2:
Practice Address - City:DORSET
Practice Address - State:OH
Practice Address - Zip Code:44032-9617
Practice Address - Country:US
Practice Address - Phone:440-858-2311
Practice Address - Fax:440-858-2683
Is Sole Proprietor?:No
Enumeration Date:2006-12-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN183994163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2433307Medicaid