Provider Demographics
NPI:1124286497
Name:BOOKER, DONNA CHRISTINE (LPN)
Entity type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:CHRISTINE
Last Name:BOOKER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:CHRISTINE
Other - Last Name:JARVI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:W199N11273 ROSEWOOD CT
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:WI
Mailing Address - Zip Code:53022-2935
Mailing Address - Country:US
Mailing Address - Phone:262-251-2250
Mailing Address - Fax:
Practice Address - Street 1:W199N11273 ROSEWOOD CT
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:WI
Practice Address - Zip Code:53022-2935
Practice Address - Country:US
Practice Address - Phone:262-251-2250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-23
Last Update Date:2008-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI28912031164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse