Provider Demographics
NPI:1679691224
Name:SEIBEL, DONNA M (LPN)
Entity type:Individual
Prefix:MISS
First Name:DONNA
Middle Name:M
Last Name:SEIBEL
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:736 FOURTH GAP RD
Mailing Address - Street 2:
Mailing Address - City:LOGANTON
Mailing Address - State:PA
Mailing Address - Zip Code:17747-9229
Mailing Address - Country:US
Mailing Address - Phone:570-725-2354
Mailing Address - Fax:
Practice Address - Street 1:736 FOURTH GAP RD
Practice Address - Street 2:
Practice Address - City:LOGANTON
Practice Address - State:PA
Practice Address - Zip Code:17747-9229
Practice Address - Country:US
Practice Address - Phone:570-725-2354
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPN266078164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse