Healthcare Provider Details

I. General information

NPI: 1780524884
Provider Name (Legal Business Name): DONNESHA LAGAYLE MCCUIEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7645 VESTAL BLVD APT 5
NORTH LITTLE ROCK AR
72113-7282
US

IV. Provider business mailing address

7645 VESTAL BLVD APT 5
NORTH LITTLE ROCK AR
72113-7282
US

V. Phone/Fax

Practice location:
  • Phone: 501-529-0539
  • Fax:
Mailing address:
  • Phone: 501-529-0539
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: