MEDICARE: MS. DONNA F HAFER ADN-RN

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	163WG0000X	General Practice Registered Nurse	166378	NC
2	163WH0200X	Home Health Registered Nurse	166378	NC

General Provider Information

NPI Number	:	1841290673
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DONNA F HAFER ADN-RN

Provider Business Mailing Address
First Line	:	3560 HILLVIEW DR NE
Second Line	:
City	:	CONOVER
State	:	NC
Zip	:	28613-8994
Country	:	US
Telephone Number	:	828-781-4264
Fax Number	:	828-465-5335

Provider Business Practice Location Address
First Line	:	3560 HILLVIEW DR NE
Second Line	:
City	:	CONOVER
State	:	NC
Zip	:	28613-8994
Country	:	US
Telephone Number	:	828-781-4264
Fax Number	:	828-465-5335

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

Provider Enumeration Date	:	07/22/2005
Last Update Date	:	09/11/2025

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