Provider Demographics
NPI:1942436043
Name:CHAMBERS, DONNA MARIE (NURSE-LPN)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:MARIE
Last Name:CHAMBERS
Suffix:
Gender:F
Credentials:NURSE-LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 HAMILTON AVE
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:NY
Mailing Address - Zip Code:10552-1912
Mailing Address - Country:US
Mailing Address - Phone:336-926-7500
Mailing Address - Fax:914-363-9715
Practice Address - Street 1:14 HAMILTON AVE
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10552-1912
Practice Address - Country:US
Practice Address - Phone:336-926-7500
Practice Address - Fax:914-363-9715
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-03
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY296000164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse