Provider Demographics
NPI:1346575826
Name:VILLENEUVE, DONNA LYNN (LPN)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:LYNN
Last Name:VILLENEUVE
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 1:25511 ABBEY DR
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48374-2371
Mailing Address - Country:US
Mailing Address - Phone:248-380-7733
Mailing Address - Fax:
Practice Address - Street 1:25511 ABBEY DR
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48374-2371
Practice Address - Country:US
Practice Address - Phone:248-380-7733
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-16
Last Update Date:2009-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4703040227164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse