Provider Demographics
NPI:1306097746
Name:ROUNDS, DONNA J (LPN)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:J
Last Name:ROUNDS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3433 GASKIN RD
Mailing Address - Street 2:
Mailing Address - City:BALDWINSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13027-9313
Mailing Address - Country:US
Mailing Address - Phone:315-771-0229
Mailing Address - Fax:
Practice Address - Street 1:3433 GASKIN RD
Practice Address - Street 2:
Practice Address - City:BALDWINSVILLE
Practice Address - State:NY
Practice Address - Zip Code:13027-9313
Practice Address - Country:US
Practice Address - Phone:315-771-0229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-03
Last Update Date:2008-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY292842164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse