Provider Demographics
NPI:1487943957
Name:CASEY, DONNA JEAN (MSN,RN)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:JEAN
Last Name:CASEY
Suffix:
Gender:F
Credentials:MSN,RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2324 DEMI DR
Mailing Address - Street 2:
Mailing Address - City:TWINSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:44087-1394
Mailing Address - Country:US
Mailing Address - Phone:330-963-0787
Mailing Address - Fax:
Practice Address - Street 1:2324 DEMI DR
Practice Address - Street 2:
Practice Address - City:TWINSBURG
Practice Address - State:OH
Practice Address - Zip Code:44087-1394
Practice Address - Country:US
Practice Address - Phone:330-963-0787
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-05
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN140695163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse