Healthcare Provider Details

I. General information

NPI: 1669856183
Provider Name (Legal Business Name): DONNA PARMAIN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2015
Last Update Date: 07/14/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

275 W MAIN ST
KANSAS OK
74347-4700
US

IV. Provider business mailing address

PO BOX 196
KANSAS OK
74347-0196
US

V. Phone/Fax

Practice location:
  • Phone: 918-868-2427
  • Fax: 918-868-5587
Mailing address:
  • Phone: 918-868-2427
  • Fax: 918-868-5587

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License NumberR0109976
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: