Provider Demographics
NPI:1124786835
Name:BILLS, DONNETTA
Entity type:Individual
Prefix:
First Name:DONNETTA
Middle Name:
Last Name:BILLS
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 1:202 LOWES BLVD UNIT A
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76542-6788
Mailing Address - Country:US
Mailing Address - Phone:254-203-8832
Mailing Address - Fax:
Practice Address - Street 1:202 LOWES BLVD UNIT A
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76542-6788
Practice Address - Country:US
Practice Address - Phone:254-203-8832
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-30
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist