Provider Demographics
NPI:1053574012
Name:SCHELLHASE, DONNA JEAN (RN-C)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:JEAN
Last Name:SCHELLHASE
Suffix:
Gender:F
Credentials:RN-C
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:JEAN
Other - Last Name:EMERICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN-C
Mailing Address - Street 1:900 SETON DR
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:CUMBERLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21502-1854
Mailing Address - Country:US
Mailing Address - Phone:301-723-5030
Mailing Address - Fax:301-723-1480
Practice Address - Street 1:900 SETON DR
Practice Address - Street 2:2ND FLOOR
Practice Address - City:CUMBERLAND
Practice Address - State:MD
Practice Address - Zip Code:21502-1854
Practice Address - Country:US
Practice Address - Phone:301-723-5030
Practice Address - Fax:301-723-1480
Is Sole Proprietor?:No
Enumeration Date:2008-07-09
Last Update Date:2009-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR091268163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health