Provider Demographics
NPI:1972916500
Name:CHARCHO, DONNA
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:CHARCHO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:745 W MOANA LN
Mailing Address - Street 2:SUITE 375
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-4991
Mailing Address - Country:US
Mailing Address - Phone:775-788-7800
Mailing Address - Fax:775-788-7611
Practice Address - Street 1:745 W MOANA LN
Practice Address - Street 2:SUITE 375
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-4991
Practice Address - Country:US
Practice Address - Phone:775-788-7800
Practice Address - Fax:775-788-7611
Is Sole Proprietor?:No
Enumeration Date:2014-06-11
Last Update Date:2014-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVRN55817163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse