Healthcare Provider Details

I. General information

NPI: 1851929061
Provider Name (Legal Business Name): DONICA MARIE TROXLER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2020
Last Update Date: 11/05/2025
Certification Date: 11/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3977 ATLANTA HWY STE 104-105
LOGANVILLE GA
30052-3760
US

IV. Provider business mailing address

3977 ATLANTA HWY STE 105
LOGANVILLE GA
30052-3760
US

V. Phone/Fax

Practice location:
  • Phone: 470-553-0465
  • Fax:
Mailing address:
  • Phone: 470-251-4450
  • Fax: 678-669-2900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License NumberRN280255
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License NumberRN280255
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code225800000X
TaxonomyRecreation Therapist
License NumberRN280255
License Number StateGA
# 4
Primary TaxonomyN
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License NumberRN280255
License Number StateGA
# 5
Primary TaxonomyN
Taxonomy Code163WA2000X
TaxonomyAdministrator Registered Nurse
License NumberRN280255
License Number StateGA
# 6
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberRN280255
License Number StateGA
# 7
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License NumberRN280255
License Number StateGA
# 8
Primary TaxonomyN
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License NumberRN280255
License Number StateGA
# 9
Primary TaxonomyN
Taxonomy Code364SP0812X
TaxonomyCommunity Psychiatric/Mental Health Clinical Nurse Specialist
License NumberRN280255
License Number StateGA
# 10
Primary TaxonomyN
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License NumberRN280255
License Number StateGA
# 11
Primary TaxonomyN
Taxonomy Code224Y00000X
TaxonomyClinical Exercise Physiologist
License NumberRN280255
License Number StateGA
# 12
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN280255
License Number StateGA
# 13
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License NumberRN280255
License Number StateGA
# 14
Primary TaxonomyN
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License NumberRN280255
License Number StateGA
# 15
Primary TaxonomyN
Taxonomy Code2278E0002X
TaxonomyEmergency Care Certified Respiratory Therapist
License NumberRN280255
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: