Provider Demographics
NPI:1578375267
Name:SOWARDS, DONNA ANN
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:ANN
Last Name:SOWARDS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:69 MAZE PLZ
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH
Mailing Address - State:WV
Mailing Address - Zip Code:26143-5127
Mailing Address - Country:US
Mailing Address - Phone:304-377-8641
Mailing Address - Fax:
Practice Address - Street 1:69 MAZE PLZ
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:WV
Practice Address - Zip Code:26143-5127
Practice Address - Country:US
Practice Address - Phone:304-598-6084
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-21
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV32518164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse