| Doctor Name: | CINAMON L DONLEY |
| NPI Number: | 1407136013 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP-C |
| License Number: | 71003822A |
| Business Practice Address: | 714 Cameron Woods Dr Angola, IN - 467038816 |
| Business Phone Number: | 2603739965 |
| Business Fax Number: | 2606657312 |
| Mailing Address: | 1234 E. Dupont Rd., 1 FORT WAYNE |
| State: | IN |
| Postal Code: | 468251545 |
| Phone Number: | 2603739700 |
| Fax Number: | 2603739740 |
| NPI Enumeration Date: | 08/26/2011 |
| NPI Last Update Date: | 02/18/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 71003822A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |