King, Donelle Lynn

King, Donelle Lynn is an individual health care provider with primary practice located at 530 3Rd St Nw , Elk River MN 55330. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. King, Donelle Lynn can be contacted via phone (763) 587-4800.

Contact Information

Primary practice address
530 3Rd St Nw Elk River MN 55330
Phone: (763) 587-4800
Fax: (763) 587-4885
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R172511-9 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0384015-22 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1942 Minnesota

Profile Details

NPI number 1528028677
LBN Legal business name King, Donelle Lynn
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Aug 19th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528028677 NPPES
Iowa MEDICAID 0424440

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