Provider Demographics
NPI:1316907678
Name:KLAHN, DONNA MAY (REGISTERED NURSE)
Entity type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:MAY
Last Name:KLAHN
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 CHURCH ST
Mailing Address - Street 2:P.O.BOX 622
Mailing Address - City:MONTELLO
Mailing Address - State:WI
Mailing Address - Zip Code:53949-9702
Mailing Address - Country:US
Mailing Address - Phone:608-297-7599
Mailing Address - Fax:
Practice Address - Street 1:5421 PAINTED POST DR
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53716-1557
Practice Address - Country:US
Practice Address - Phone:608-221-2368
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI83420-030163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health