House, Donnetta
House, Donnetta is an sole proprietor health care provider with primary practice located at 50 Northgate Industrial Dr , Granite City IL 62040-6805. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. House, Donnetta can be contacted via phone (618) 877-4420.Contact Information
Primary practice address
50 Northgate Industrial Dr
Granite City IL 62040-6805
Phone: (618) 877-4420
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 209.035986 | Illinois |
| Nursing Service Providers / Psychiatric/Mental Health | 163WP0808X | 2016025238 | Missouri |
Profile Details
| NPI number | 1538939145 |
|---|---|
| LBN Legal business name | House, Donnetta |
| Credentials | Advanced Practice Nurse (APN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 4th, 2024 |
| Last updated | Jul 22nd, 2026 - about 3 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538939145 | NPPES |
| Missouri | Other | 2016025238 | RN |
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