Doctor Name: | DONNA K BOND |
NPI Number: | 1003892514 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN |
License Number: | 040344 |
Business Practice Address: | 1450 E 10th St Rolla, MO - 654013648 |
Business Phone Number: | 5733647551 |
Business Fax Number: | 5733644898 |
Mailing Address: | 615 Vine St, CUBA |
State: | MO |
Postal Code: | 654531949 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 12/16/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0808X |
License Number: | 040344 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |