MEDICARE: DONNA WORKMAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide		OH

General Provider Information

NPI Number	:	1275129256
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONNA WORKMAN

Provider Business Mailing Address
First Line	:	PO BOX 500
Second Line	:
City	:	RIO GRANDE
State	:	OH
Zip	:	45674-0500
Country	:	US
Telephone Number	:	800-582-7277
Fax Number	:

Provider Business Practice Location Address
First Line	:	14062 US HIGHWAY 23
Second Line	:
City	:	WAVERLY
State	:	OH
Zip	:	45690-9415
Country	:	US
Telephone Number	:	800-582-7277
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/14/2020
Last Update Date	:	12/14/2020

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Directions to “ DONNA WORKMAN ” Practice Location

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