MS. DONNA M WACKER (NPI# 1356431894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356431894 |
| Entity Type | Individual |
| Full Name | MS. DONNA M WACKER |
| Credential | FNP-C |
| Practice Address |
615 6 St Se Mountrail County Medical Center Stanley ND 58784 |
| Mailing Address |
1951 Main St W Turtle Lake ND 58575-9661 |
| Practice Telephone | 7016282505 |
| Practice Fax Number | 7016283274 |
| Mailing Telephone | 7016282505 |
| Mailing Fax Number | 7016283274 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R26295 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 19843 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225260987 | Donna Jane Wacker | Social Worker | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2009-08-13 |
| Street Address |
615 6 ST SE MOUNTRAIL COUNTY MEDICAL CENTER |
| City | STANLEY |
| State | ND |
| Zip Code | 58784 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003322231 | Opportunity Foundation Inc | Day Training, Developmentally Disabled Services | 723 2nd Street Sw, Stanley, ND 58784 | 2017-12-26 |
| 1457521155 | Tri City Cares, Inc | Clinic/Center | 15 1st St Se, Stanley, ND 58784 | 2008-03-10 |
| 1821268517 | Tri City Care, Inc | Clinic/Center | 723 1st St Sw, Stanley, ND 58784 | 2008-03-10 |
| 1669642369 | Tri City Cares, Inc | Clinic/Center | 415 7th Ave Se, Stanley, ND 58784 | 2008-03-10 |
| 1982800959 | Tri City Cares, Inc. | Clinic/Center | 15 1st Street Se, Stanley, ND 58784 | 2007-06-26 |
| 1053896357 | Nancy A Hermanson | Case Manager/Care Coordinator | 18 2nd Ave Se, Stanley, ND 58784 | 2018-10-02 |
| 1457762627 | Richard Paul Laksonen Jr. | Nurse Practitioner | 615 6th St Se, Stanley, ND 58784 | 2014-05-09 |
| 1811339724 | Janae Marcene Maier | Physical Therapist | 615 6th St Se, Stanley, ND 58784 | 2013-07-19 |
| 1174777676 | Stanley Ambulance Service | Ambulance | 221 S Main St, Stanley, ND 58784 | 2008-11-11 |
| 1285804906 | Tri City Care, Inc | Clinic/Center | 15 1st St Se, Stanley, ND 58784 | 2008-03-10 |
| Find all providers in zip 58784 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104285592 | Dana Laurae Roloff | Nurse Practitioner | 503 7th Ave Se, Stanley, ND 58784-1016 | 2016-02-15 |
| 1558780874 | Lisa Bailey Wilbanks | Nurse Practitioner | 121 Golden St, Stanley, NC 28164-1187 | 2014-04-15 |
| 1043775554 | Jamie Parlett Jenkins | Nurse Practitioner | 235 Medical Dr, Stanley, VA 22851-4112 | 2019-02-08 |
| 1578037099 | Kate Laukaitis Tingen | Nurse Practitioner | 442 S Highway 27, Stanley, NC 28164-2055 | 2019-01-17 |
| 1477074516 | Nicole Nalley Tate | Nurse Practitioner | 442 S Highway 27, Stanley, NC 28164-2055 | 2017-06-28 |
| 1194129353 | Erin Colleen Harrington | Nurse Practitioner | 1120 Pine St, Stanley, WI 54768-1297 | 2014-10-17 |
| 1891102729 | Kayde Guenthner | Nurse Practitioner | 235 Medical Dr, Stanley, VA 22851-4112 | 2014-07-11 |
| 1073878252 | Sunny Bakalli Severance | Nurse Practitioner | 700 N Main St, Stanley, NC 28164-1438 | 2012-07-12 |
| 1972734499 | Tara M Nardacci | Nurse Practitioner | 615 6th St Se, Stanley, ND 58784-4444 | 2009-07-31 |
| 1124279633 | Vonnie Jean Johnson | Nurse Practitioner | 615 6th St Se, Stanley, ND 58784-4444 | 2008-10-02 |
| Find all providers in STANLEY | ||||
Please comment or provide details below to improve the information on MS. DONNA M WACKER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.