Healthcare Provider Details

I. General information

NPI: 1356220842
Provider Name (Legal Business Name): DONNA LEDVINA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2025
Last Update Date: 08/28/2025
Certification Date: 08/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1026 A AVE NE
CEDAR RAPIDS IA
52402-5036
US

IV. Provider business mailing address

PO BOX 146
TIFFIN IA
52340-0146
US

V. Phone/Fax

Practice location:
  • Phone: 319-899-8501
  • Fax:
Mailing address:
  • Phone: 319-899-8501
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0003X
TaxonomyInpatient Obstetric Registered Nurse
License Number172445
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: