Provider Demographics
NPI:1558167692
Name:DONKER, BETTY
Entity type:Individual
Prefix:
First Name:BETTY
Middle Name:
Last Name:DONKER
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:P.O BOX 900
Mailing Address - Street 2:
Mailing Address - City:CHADRON
Mailing Address - State:NE
Mailing Address - Zip Code:69337
Mailing Address - Country:US
Mailing Address - Phone:308-638-4519
Mailing Address - Fax:
Practice Address - Street 1:102 NORTH MILLER
Practice Address - Street 2:
Practice Address - City:HAYSPRINGS
Practice Address - State:NE
Practice Address - Zip Code:69347
Practice Address - Country:US
Practice Address - Phone:308-638-4519
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker