Provider Demographics
NPI:1194526715
Name:DONALD, SHAWNTA D
Entity type:Individual
Prefix:
First Name:SHAWNTA
Middle Name:D
Last Name:DONALD
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 APRIL CT
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44307-1000
Mailing Address - Country:US
Mailing Address - Phone:330-571-1581
Mailing Address - Fax:
Practice Address - Street 1:60 APRIL CT
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44307-1000
Practice Address - Country:US
Practice Address - Phone:330-571-1581
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-20
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH172A00000X376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker